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담도폐쇄증 : 대한소아외과학회 회원 대상 전국 조사

Other Titles
 Biliary Atresia -A Survey by the Kor ean Association of Pediatr ic Surgeons in 2011- 
Authors
 오정탁  ;  김대연  ;  김성철  ;  김인구  ;  김해영  ;  김현영  ;  남소현  ;  박귀원  ;  박우현  ;  박진영  ;  서정민  ;  이남혁  ;  이명덕  ;  이석구  ;  이성철  ;  정상영  ;  정성은  ;  정재희  ;  최금자  ;  최순옥  ;  최승훈  ;  최윤미  ;  한석주  ;  홍정 
Citation
 Journal of the Korean Association of Pediatric Surgeons (소아외과), Vol.19(1) : 1-13, 2013 
Journal Title
 Journal of the Korean Association of Pediatric Surgeons (소아외과) 
ISSN
 1225-9047 
Issue Date
2013
Keywords
Biliary atresia ; Korea ; Kasai operation ; Liver transplantation
Abstract
The Korean Association of Pediatric Surgeons (KAPS) performed the second nationwide survey on biliary atresia in 2011. It was a follow-up study to the first survey, which was performed in 2001 for the retrospective analysis of biliary atresia between 1980 and 2000. In the second survey, the authors reviewed and analyzed the clinical data of patients who were treated for biliary atresia by the members of KAPS from 2001 to 2010. A total of 459 patients were registered. Among them, 435 patients primarily underwent the Kasai operation. The mean age of patients who underwent the Kasai operation was 66.2±28.7 days, and 89.7% of those patients had type III biliary atresia. Only five patients (1.4%) had complications related to the Kasai operation. After the Kasai operation, 269 (61.8%) of the patients were re-admitted because of cholangitis (79.9%) and varices (20.4%). One hundred and fifty-nine (36.6%) of the patients who underwent the Kasai operation subsequently underwent liver transplantation. The most common cause of subsequent liver transplantation was persistent hyperbilirubinemia. The mean interval between the Kasai operation and liver transplantation was 1.1±1.3 years. Overall the 10-year survival rate after the Kasai operation was 92.9% and the 10-year native liver survival rate was 59.8%. We had 23 patients for primary liver transplantation without the Kasai operation. The mean age patients who underwent primary liver transplantation was 8.6±2.9 months. In summary, among the 458 Kasai-operation and liver-transplantation patients, 373 lived, 31 died, and 54 were unavailable for follow up. One-third of the patient who survived have had complications correlated with biliary atresia. In comparison with the first survey, this study showed a higher survival rate and a greater number of liver transplantation.
Files in This Item:
T201303402.pdf Download
DOI
10.13029/jkaps.2013.19.1.1
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Oh, Jung Tak(오정탁)
Choi, Seung Hoon(최승훈)
Han, Seok Joo(한석주) ORCID logo https://orcid.org/0000-0001-5224-1437
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/88051
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