The role of ERCP in biliary atresia
Background: It is not easy to discriminate between infantile hepatitis and biliary atresia in spite of several diagnostic tests including laboratory analyses, ultrasound, and hepatobiliary scans. ERCP is the most useful procedure for visualization of the extrahepatic biliary system, but ERCP is stil...
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| Veröffentlicht in: | Gastrointestinal endoscopy 1997-05, Vol.45 (5), p.365-370 |
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| container_title | Gastrointestinal endoscopy |
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| creator | Ohnuma, Naomi Takahashi, Hideyo Tanabe, Masahiro Yoshida, Hideo Iwai, Jun |
| description | Background: It is not easy to discriminate between infantile hepatitis and biliary atresia in spite of several diagnostic tests including laboratory analyses, ultrasound, and hepatobiliary scans. ERCP is the most useful procedure for visualization of the extrahepatic biliary system, but ERCP is still an uncommon procedure in children.
Methods: ERCP examination was performed in 52 infants with biliary atresia (10 with infantile hepatitis, 5 with congenital biliary dilatation, 3 with paucity of intrahepatic bile duct, 2 with duodenal atresia, and 1 with postoperative jaundice of hepatoblastoma) aged from 8 days to 300 days (mean, 71 days).
Results: ERCP was successful in 47 with biliary atresia, in 9 with infantile hepatitis, and 10 with another disease. Liver biopsy was performed in 1 infant with hepatitis in whom the cannulation failed; in 9 with hepatitis in whom the cannulation was successful, exploratory laparotomy could be avoided. The ERCP findings in 46 patients with biliary atresia (excluding 1 in whom evaluation could not be performed because of poor x-ray quality) were classified into four patterns.
Conclusions: A success rate of ERCP examinations in infants was 88%, so ERCP is recommended to make a correct decision regarding the need for surgery in cholestatic disorders. (Gastrintest Endosc 1997;45:365-70.) |
| doi_str_mv | 10.1016/S0016-5107(97)70145-7 |
| format | Article |
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Methods: ERCP examination was performed in 52 infants with biliary atresia (10 with infantile hepatitis, 5 with congenital biliary dilatation, 3 with paucity of intrahepatic bile duct, 2 with duodenal atresia, and 1 with postoperative jaundice of hepatoblastoma) aged from 8 days to 300 days (mean, 71 days).
Results: ERCP was successful in 47 with biliary atresia, in 9 with infantile hepatitis, and 10 with another disease. Liver biopsy was performed in 1 infant with hepatitis in whom the cannulation failed; in 9 with hepatitis in whom the cannulation was successful, exploratory laparotomy could be avoided. The ERCP findings in 46 patients with biliary atresia (excluding 1 in whom evaluation could not be performed because of poor x-ray quality) were classified into four patterns.
Conclusions: A success rate of ERCP examinations in infants was 88%, so ERCP is recommended to make a correct decision regarding the need for surgery in cholestatic disorders. (Gastrintest Endosc 1997;45:365-70.)</description><identifier>ISSN: 0016-5107</identifier><identifier>EISSN: 1097-6779</identifier><identifier>DOI: 10.1016/S0016-5107(97)70145-7</identifier><identifier>PMID: 9165316</identifier><identifier>CODEN: GAENBQ</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Biliary Atresia - classification ; Biliary Atresia - diagnostic imaging ; Biological and medical sciences ; Cholangiopancreatography, Endoscopic Retrograde - instrumentation ; Cholangiopancreatography, Endoscopic Retrograde - methods ; Common Bile Duct - diagnostic imaging ; Contrast Media ; Diagnosis, Differential ; Diatrizoate Meglumine ; Digestive system. Abdomen ; Endoscopy ; Female ; Hepatitis - diagnostic imaging ; Humans ; Infant ; Infant, Newborn ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences</subject><ispartof>Gastrointestinal endoscopy, 1997-05, Vol.45 (5), p.365-370</ispartof><rights>1997 American Society for Gastrointestinal Endoscopy</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-59734a358ea722aa4a1cb7bd3faf20747772f9182adc4a3009934c72cdb75a883</citedby><cites>FETCH-LOGICAL-c389t-59734a358ea722aa4a1cb7bd3faf20747772f9182adc4a3009934c72cdb75a883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0016510797701457$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2668744$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9165316$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ohnuma, Naomi</creatorcontrib><creatorcontrib>Takahashi, Hideyo</creatorcontrib><creatorcontrib>Tanabe, Masahiro</creatorcontrib><creatorcontrib>Yoshida, Hideo</creatorcontrib><creatorcontrib>Iwai, Jun</creatorcontrib><title>The role of ERCP in biliary atresia</title><title>Gastrointestinal endoscopy</title><addtitle>Gastrointest Endosc</addtitle><description>Background: It is not easy to discriminate between infantile hepatitis and biliary atresia in spite of several diagnostic tests including laboratory analyses, ultrasound, and hepatobiliary scans. ERCP is the most useful procedure for visualization of the extrahepatic biliary system, but ERCP is still an uncommon procedure in children.
Methods: ERCP examination was performed in 52 infants with biliary atresia (10 with infantile hepatitis, 5 with congenital biliary dilatation, 3 with paucity of intrahepatic bile duct, 2 with duodenal atresia, and 1 with postoperative jaundice of hepatoblastoma) aged from 8 days to 300 days (mean, 71 days).
Results: ERCP was successful in 47 with biliary atresia, in 9 with infantile hepatitis, and 10 with another disease. Liver biopsy was performed in 1 infant with hepatitis in whom the cannulation failed; in 9 with hepatitis in whom the cannulation was successful, exploratory laparotomy could be avoided. The ERCP findings in 46 patients with biliary atresia (excluding 1 in whom evaluation could not be performed because of poor x-ray quality) were classified into four patterns.
Conclusions: A success rate of ERCP examinations in infants was 88%, so ERCP is recommended to make a correct decision regarding the need for surgery in cholestatic disorders. (Gastrintest Endosc 1997;45:365-70.)</description><subject>Biliary Atresia - classification</subject><subject>Biliary Atresia - diagnostic imaging</subject><subject>Biological and medical sciences</subject><subject>Cholangiopancreatography, Endoscopic Retrograde - instrumentation</subject><subject>Cholangiopancreatography, Endoscopic Retrograde - methods</subject><subject>Common Bile Duct - diagnostic imaging</subject><subject>Contrast Media</subject><subject>Diagnosis, Differential</subject><subject>Diatrizoate Meglumine</subject><subject>Digestive system. Abdomen</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Hepatitis - diagnostic imaging</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><issn>0016-5107</issn><issn>1097-6779</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LAzEQhoMotVZ_QmFBET2s5mN3JzmJlPoBBUXrOcxmsxjZ7tZkK_jvTT_o1UvmMM87mXkIGTN6wygrbt9pfNOcUbhScA2UZXkKB2TIqIK0AFCHZLhHjslJCF-UUskFG5CBYkUuWDEk5_NPm_iusUlXJ9O3yWvi2qR0jUP_m2DvbXB4So5qbII929UR-XiYzidP6ezl8XlyP0uNkKpPcwUiQ5FLi8A5YobMlFBWosaaU8gAgNeKSY6ViRylSonMADdVCTlKKUbkcjt36bvvlQ29XrhgbNNga7tV0KBiRhYigvkWNL4LwdtaL71bxI01o3otR2_k6PXlWoHeyNEQc-PdB6tyYat9amcj9i92fQwGm9pja1zYY7woJGRZxO62mI0yfpz1OhhnW2Mr563pddW5fxb5A5ZzfXk</recordid><startdate>19970501</startdate><enddate>19970501</enddate><creator>Ohnuma, Naomi</creator><creator>Takahashi, Hideyo</creator><creator>Tanabe, Masahiro</creator><creator>Yoshida, Hideo</creator><creator>Iwai, Jun</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19970501</creationdate><title>The role of ERCP in biliary atresia</title><author>Ohnuma, Naomi ; Takahashi, Hideyo ; Tanabe, Masahiro ; Yoshida, Hideo ; Iwai, Jun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-59734a358ea722aa4a1cb7bd3faf20747772f9182adc4a3009934c72cdb75a883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Biliary Atresia - classification</topic><topic>Biliary Atresia - diagnostic imaging</topic><topic>Biological and medical sciences</topic><topic>Cholangiopancreatography, Endoscopic Retrograde - instrumentation</topic><topic>Cholangiopancreatography, Endoscopic Retrograde - methods</topic><topic>Common Bile Duct - diagnostic imaging</topic><topic>Contrast Media</topic><topic>Diagnosis, Differential</topic><topic>Diatrizoate Meglumine</topic><topic>Digestive system. Abdomen</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Hepatitis - diagnostic imaging</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ohnuma, Naomi</creatorcontrib><creatorcontrib>Takahashi, Hideyo</creatorcontrib><creatorcontrib>Tanabe, Masahiro</creatorcontrib><creatorcontrib>Yoshida, Hideo</creatorcontrib><creatorcontrib>Iwai, Jun</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Gastrointestinal endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ohnuma, Naomi</au><au>Takahashi, Hideyo</au><au>Tanabe, Masahiro</au><au>Yoshida, Hideo</au><au>Iwai, Jun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of ERCP in biliary atresia</atitle><jtitle>Gastrointestinal endoscopy</jtitle><addtitle>Gastrointest Endosc</addtitle><date>1997-05-01</date><risdate>1997</risdate><volume>45</volume><issue>5</issue><spage>365</spage><epage>370</epage><pages>365-370</pages><issn>0016-5107</issn><eissn>1097-6779</eissn><coden>GAENBQ</coden><abstract>Background: It is not easy to discriminate between infantile hepatitis and biliary atresia in spite of several diagnostic tests including laboratory analyses, ultrasound, and hepatobiliary scans. ERCP is the most useful procedure for visualization of the extrahepatic biliary system, but ERCP is still an uncommon procedure in children.
Methods: ERCP examination was performed in 52 infants with biliary atresia (10 with infantile hepatitis, 5 with congenital biliary dilatation, 3 with paucity of intrahepatic bile duct, 2 with duodenal atresia, and 1 with postoperative jaundice of hepatoblastoma) aged from 8 days to 300 days (mean, 71 days).
Results: ERCP was successful in 47 with biliary atresia, in 9 with infantile hepatitis, and 10 with another disease. Liver biopsy was performed in 1 infant with hepatitis in whom the cannulation failed; in 9 with hepatitis in whom the cannulation was successful, exploratory laparotomy could be avoided. The ERCP findings in 46 patients with biliary atresia (excluding 1 in whom evaluation could not be performed because of poor x-ray quality) were classified into four patterns.
Conclusions: A success rate of ERCP examinations in infants was 88%, so ERCP is recommended to make a correct decision regarding the need for surgery in cholestatic disorders. (Gastrintest Endosc 1997;45:365-70.)</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>9165316</pmid><doi>10.1016/S0016-5107(97)70145-7</doi><tpages>6</tpages></addata></record> |
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| subjects | Biliary Atresia - classification Biliary Atresia - diagnostic imaging Biological and medical sciences Cholangiopancreatography, Endoscopic Retrograde - instrumentation Cholangiopancreatography, Endoscopic Retrograde - methods Common Bile Duct - diagnostic imaging Contrast Media Diagnosis, Differential Diatrizoate Meglumine Digestive system. Abdomen Endoscopy Female Hepatitis - diagnostic imaging Humans Infant Infant, Newborn Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences |
| title | The role of ERCP in biliary atresia |
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