Surgical Management Of Biliary Tree Diseases In Children At Tikur Anbessa Specialized Hospital A10 Year Retrospective Study

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Abstract rnBackground Information-biliary tree diseases are diseases affecting bile ducts, gallbladder andrnother structures involved in production and transportation of bile. A diverse spectrum of diseasesrnaffects the biliary system, often presenting with similar clinical signs and symptoms. Thesernconditions include gallstones, cholecystitis, cholangitis, biliary tract cysts, congenital biliaryrnatresia and others.rnBiliary atresia is a progressive obstructive cholangiopathy of unknown etiology, occurring duringrnthe perinatal period. If left untreated it progresses to liver fibrosis and cirrhosis in the first fewrnmonths of life. Timely Kasai porto-enterostomy restores bile flow enhancing survival and thusrnage at diagnosis is a potentially modifiable risk factor.rncholedocal cyst is a rare congenital anomaly of the bile duct which is defined as pathologicalrndilatation of the bile duct. If left untreated it has complications which range from biliary ductrnobstruction to cholangiocarcinoma. Total cyst excision and biliary reconstruction is the treatmentrnof choice.rnLittle is known about the epidemiology of cholelithiasis in children. Cholelithiasis andrncholedocholithiasis have been increasingly diagnosed in recent years in children. Thisrnphenomenon may be attributed to better medical imaging (especially ultrasonography) and itsrnusage in investigating children with unexplained abdominal pain and/or a genuine increase in thernincidence.rnObjective- to assess clinical presentation, clinical course and outcome of pediatric patientsrnoperated at TASH with biliary tree diseases.rnMethodology: a retrospective study using structured questionnaire was used to collect data onrnpediatric patients operated at TASH for the diagnosis of biliary tree diseases from Jan 2010 tornJan 2020.The collected data was checked for completeness and analyzed using software SPSSrn23.rnResults and discussion-60% of patients operated for biliary tree and 87% of choledocal cystsrnwere females. More than 60% of biliary atresia patients were operated within the 1rn 3rnmonths.75% of choledocal cyst was type I and the rest type II.1/3 of patients operated for BArnhad their jaundice cleared on follow up.rnConclusion-age at KPE and post kasai jaundice clearance is low in our setting but similar withrnother African countries. Type II choledocal cyst is the 2rnndrn commonest type in our setting unlikernother studies.

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Surgical Management Of Biliary Tree Diseases In Children At Tikur Anbessa Specialized Hospital A10 Year Retrospective Study

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