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
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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.
Revisiting long-term prognostic factors of biliary atresia: A 20-year experience with 81 patients from a single center
Effects of age at Kasai portoenterostomy on the surgical outcome: A review of the literature.
ROLE OF HEPATOBILIARY SCINTIGRAPHY and BILIRUBIN PROFILE IN EARLY DIAGNOSIS OF BILIARY ATRESIA IN CHILDREN WITH PERSISTENT NEONATAL JAUNDICE-A REVIEW OF 8 YEAR EXPERIENCE
(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.
A perspective on paediatric surgical training: opportunities and challenges
Despite Kasai portoenterostomy, 68-80% of patients affected by biliary atresia develop progressive fibrosis leading to biliary cirrhosis and portal hypertension [1].
Transplantation of Human Amniotic Membrane over the Liver Surface Reduces Hepatic Fibrosis in a Cholestatic Model in Young Rats
A newoperation for non-correctable biliary atresia: hepatic portoenterostomy. Shujutsu 1959;13:733-9.
Fifty Shades of Yellow
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.
Successful Outcome and Biliary Drainage in an Infant with Concurrent Alpha-1-Antitrypsin Deficiency and Biliary Atresia
Hadzic, "Medical management of the 'failing' Kasai portoenterostomy," South African Medical Journal, vol.
Fat-Soluble Vitamin Deficiency in Pediatric Patients with Biliary Atresia
Kasai's portoenterostomy. (2) is used as initial procedure in the treatment of biliary atresia.
Prospective clinical study about the prognosis in extrahepatic biliary atresia patients following Kasai's portoenterostomy
Nevertheless, late-onset forms, as well as successful Kasai portoenterostomy procedures in older children, have been observed (4), reflecting the heterogeneous nature of BA.
Clinical and pathological challenges in the diagnosis of late-onset biliary atresia: four case studies
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%.
Impact factors in biliary atresia
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.
Biliary atresia: a multidisciplinary approach to diagnosis and management
Follow-up studies of long term survivors after hepatic portoenterostomy for 'noncorrectible' biliary atresia.
Cholestasis in newborn and infancy period/Yenidogan ve sut cocuklugunda kolestaz

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