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Yibian
 Shen Yaozi 
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diseaseCongenital Biliary Atresia
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bubble_chart Overview

Congenital biliary atresia is one of the most common malformations in hepatobiliary congenital diseases, with a higher incidence in China compared to the West, and more prevalent in females than males, approximately 1.5:1. The disease cause of congenital biliary atresia remains unclear and is clinically classified into correctable and non-correctable types. The former shows good outcomes with timely treatment, while the latter has poorer results.

bubble_chart Clinical Manifestations

  1. Progressive jaundice worsens, stool color turns clay-colored, and urine color darkens to tea-red;
  2. abdominal distension and fullness, hepatomegaly, ascites.

bubble_chart Diagnosis

  1. Progressive jaundice worsens, stool color changes to clay-colored, and urine color deepens to tea-colored;
  2. abdominal distension and fullness, hepatomegaly, ascites;
  3. abnormal liver function;
  4. B-ultrasound indicates biliary atresia;
  5. CT shows biliary atresia.

bubble_chart Treatment Measures

  1. Correctable type: Perform Roux-en-Y cholangiojejunostomy;
  2. Non-correctable type: Perform Kasai procedure or liver transplantation.
Congenital biliary atresia is extremely challenging to treat, and general hospital surgical departments often struggle with it. Therefore, children with this condition should seek treatment at hospitals with higher professional expertise.

bubble_chart Cure Criteria

  1. Cure: Jaundice subsides, stool normalizes, liver function returns to normal, biliary tract can recover to normal;
  2. Improvement: Jaundice alleviates, stool basically normalizes, liver function mostly normalizes, liver does not continue to enlarge;
  3. No cure: No change.

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