Pediatric Surgery

Biliary Atresia - Clinical Practice Updates

December 18, 2020
This clip from the 2020 Pediatric Surgery Update Course features Alexander Bondoc, MD, presenting multiple cases and research conclusions from Atsuyuki Yamataka, MD; Greg Tiao, MD; Jorge Bezerra, MD; and Mark Davenport, MD, to our selected panel for review and debate. Using a recently developed Biliary Atresia Diagnostic Algorithm, we ask the panel, "What would you do?"

Highlighted Topics Include: 
- Using Serum Matrix Metalloproteinase-7 levels (MMP-7) to predict Biliary Atresia
Is Percutaneous Liver Biopsy Obsolete?
- Diagnostic Laparoscopy + Cholangiogram benefits
- Cystic Biliary Atresia
- Open vs 
Laparoscopic Portoenterostomy
- Indocyanine Green as an Adjunct
Kasai revision
- Adjuvant Medical Options
- Porto-Dudenostomy vs Roux
- Treating CMV
- Post-Op Steroids

Sections

  • Biliary Atresia Section Opening Remarks (00:00)
  • Biliary Atresia Diagnostic Algorithm (04:45)
  • Using Serum Matrix Metalloproteinase-7 levels (MMP-7) to predict Biliary Atresia (09:31)
  • Biliary Atresia Diagnostic Algorithm continued… (12:56)
  • 00:14:22 Is Percutaneous Liver Biopsy Obsolete? (14:22)
  • Case Review #2 (Cystic Biliary Atresia) (24:16)
  • Open vs Laparoscopic Portoenterostomy (27:47)
  • Portoenterostomy - Anastomose the Roux-en-Y limb to what? (29:07)
  • Indocyanine Green as an Adjunct (33:53)
  • When should I revise my Kasai? (35:25)
  • Adjuvant Medical Options (36:12)
  • Porto-Dudenostomy vs Roux (37:03)
  • Adjuvant Medical Options continued… (38:09)
  • Post-Op Steroids (41:07)
  • Conclusions (41:52)