Pediatric Surgery
Biliary Atresia Part II
This podcast is a discussion of the international approach to diagnosis and management of biliary atresia, amongst Dr. Todd Ponsky, Dr. Yamataka Atsuyuki, Dr. Greg Tiao, Dr. Mark Davenport, and Dr. Jorge Bezerra. In part two of this podcast, we add the gastroenterology perspective, with insight into future evaluation for biliary atresia, followed by debate on post operative management and complications.
Sections
- Biliary Atresia Part II (00:00)
- Gastroenterology: Back to beginning for evaluation (01:41)
- Future Evaluation Options (04:10)
- Post-operative Steroids (05:48)
- Potential side effects of steroids (16:17)
- Timing of steroid initiation (18:07)
- Post-Operative Antibiotics (19:03)
- Post-Operative Nutrition (20:14)
- Case 2: 100-day-old infant with a similar presentation (21:08)
- Case 3: Patient younger than two weeks with similar presentation (25:23)
- Post-Operative Complications (27:08)
- Cholangitis (27:19)
- Non-clearance of bilirubin (30:17)
- Role of cytomegalovirus (CMV) (32:30)
- Patients with initial clearance of jaundice who then require transplantation (37:24)