portoenterostomy

portoenterostomy

 [por″to-en″ter-os´tah-me]
surgical anastomosis of the jejunum to a decapsulated area of liver in the porta hepatis region, and to the duodenum; done to establish a conduit from the intrahepatic bile ducts to the intestine in biliary atresia.

por·to·en·ter·os·to·my

(pōr'tō-en'tĕr-os'tŏ-mē),
An operation for biliary atresia in which a Roux-en-Y loop of jejunum is anastomosed to the hepatic end of the divided extravascular portal structures, including rudimentary bile ducts.
Synonym(s): Kasai operation

portoenterostomy

(pôr′tō-ĕn′tə-rŏs′tə-mē)
n.
A surgical procedure for the treatment of biliary atresia in which a Roux-en-Y loop of the jejunum is anastomosed to the hepatic end of the divided extravascular portal structures, including the rudimentary bile ducts.

por·to·en·ter·os·to·my

(pōr'tō-en'tĕr-os'tŏ-mē)
An operation for biliary atresia in which a Roux-en-Y loop of jejunum is anastomosed to the hepatic end of the divided extravascular portal structures, including rudimentary bile ducts.
Synonym(s): Kasai operation.

Kasai,

Morio, 20th century Japanese surgeon.
Kasai operation - an operation for biliary atresia. Synonym(s): portoenterostomy
References in periodicals archive ?
We showed that the initial prothrombin time, liver histology, and successful portoenterostomy were independent prognostic factors for both OS and SNL in patients with BA.
(14) In paediatric surgical literature, this relationship between surgeon volume and outcome and hospital volume and outcome has also been well documented by several authors with regards to simple (for instance, inguinal hernias) and complex (for instance, Kasai portoenterostomy) pathology.
Despite Kasai portoenterostomy, 68-80% of patients affected by biliary atresia develop progressive fibrosis leading to biliary cirrhosis and portal hypertension [1].
A newoperation for non-correctable biliary atresia: hepatic portoenterostomy. Shujutsu 1959;13:733-9.
When BA is suspected based on the overall clinical picture, an intraoperative cholangiogram is performed followed by corrective portoenterostomy (Kasai procedure) once the diagnosis is confirmed.
Hadzic, "Medical management of the 'failing' Kasai portoenterostomy," South African Medical Journal, vol.
Kasai's portoenterostomy. (2) is used as initial procedure in the treatment of biliary atresia.
Nevertheless, late-onset forms, as well as successful Kasai portoenterostomy procedures in older children, have been observed (4), reflecting the heterogeneous nature of BA.
Their interventions, the Kasai portoenterostomy and liver transplantation, respectively, represent 'paradigm shifts' in the management of biliary atresia, converting a uniformly fatal condition to one with a survival rate in excess of 80%.
Described in the 1950s by the Japanese surgeon Morio Kasai, portoenterostomy (Kasai) procedure remains the only form of therapy that can be offered to these patients besides liver transplant.
Follow-up studies of long term survivors after hepatic portoenterostomy for 'noncorrectible' biliary atresia.