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- $Unique_ID{BRK01348}
- $Pretitle{}
- $Title{What is Biliary Atresia?}
- $Subject{newborn biliary atresia ducts digestive system liver bile ducts
- intestines birth jaundiced abdomen swell kasai procedure procedures obstructed
- childbirth child baby babies newborns biles duct intestine abdominal swelling
- jaundice obstruction}
- $Volume{I-8,K-8}
- $Log{}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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-
- What is Biliary Atresia?
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- QUESTION: Although I have heard the term "biliary atresia" used in the paper
- in stories of babies requiring liver transplant, a situation in our own family
- now makes it important for me to understand the condition more fully. Please
- tell me what biliary atresia is, and how common it is?
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-
- ANSWER: About one infant in every 20,000 live births is affected by biliary
- atresia. This is a very serious disease in which the ducts that carry bile
- from the liver to the intestines become inflamed and obstructed. The first
- signs of biliary atresia appear just a few weeks after birth. The baby
- becomes jaundiced (its skin becomes yellow), its abdomen may swell due to an
- enlarged, hardened liver. Some infants become extremely itchy, uncomfortable
- and irritable.
- The cause of this often deadly disease is not yet known, although some
- researchers believe it may be due to a viral infection around the time of
- birth. Besides liver transplants, there is only one method of treatment that
- has been used with success in about 50 percent of cases. An operation called
- the Kasai procedure creates drainage of bile from the liver when the ducts
- have become obstructed. During the surgery, the damaged ducts are replaced
- with a length of the baby's own intestine, which forms a new duct.
- Unfortunately, this procedure only works if the damaged ducts were outside the
- liver. In many cases, the damaged ducts are inside the liver, and the only
- hope is a liver transplant. Such transplants are being perfected all the
- time. The rate of success is also improving because new drugs are being
- developed which help with the problem of organ rejection. Often, the most
- difficult problem to overcome is finding a donor organ that is acceptable.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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