Pediatric Surgery
Biliary Atresia - Clinical Practice Updates
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
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)
