2017
DOI: 10.1111/ped.13392
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Parameters that help to differentiate biliary atresia from other diseases

Abstract: The preoperative differentiation of cholestasis is difficult based on laboratory data and imaging. Preoperative γ-GTP may be useful for diagnosing BA, but operative cholangiography should be performed when BA is suspected and cannot be ruled out by other methods, given that the most common non-BA disease may be IBS.

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Cited by 6 publications
(4 citation statements)
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“…При невозможности подтвердить диагноз БА с использованием неинвазивных методов исследования, особенно в случаях наличия желчного пузыря в сочетании с ахоличным стулом, необходимо проводить интраоперационную холангиографию [34].…”
Section: диагностикаunclassified
“…При невозможности подтвердить диагноз БА с использованием неинвазивных методов исследования, особенно в случаях наличия желчного пузыря в сочетании с ахоличным стулом, необходимо проводить интраоперационную холангиографию [34].…”
Section: диагностикаunclassified
“…This polymorphism is located in the stem region opposite to the mature miR-499 sequence and results in a change in the stem structure of miR-499. Compared with the A allele, the secondary structure for the G allele is less stable [ 8 ].…”
Section: Introductionmentioning
confidence: 99%
“…ChE was relatively preserved in many cases, but an upward trend was observed in the first few months after initial PE, along with decreased T-Bil, AST, ALT, and γGTP, suggesting that ChE may be useful as a postoperative indicator. γGTP is known to be raised in BA patients but was considered to be potentially useful for following liver cell and bile duct epithelial damage and cholestasis because of its sensitivity [20,25]. In this study, it continued to remain high postoperatively irrespective of operative technique and took more than 5 years to reach normal levels.…”
Section: Discussionmentioning
confidence: 58%
“…There are several reports in the literature about postoperative SBM and prognosis [16,19,[24][25][26][27]. One assessed SNL subjects after OPE with SBM and another compared LPE with OPE using SBM, but both are less intensive than the current study; in the SNL paper only OPE subjects were reviewed for a few months after surgery with no comparison with 14 LPE [16] and in the paper comparing LPE and OPE with SBM, SNL subjects were not investigated specifically and the study period was for only 6 months after PE [28].…”
Section: Discussionmentioning
confidence: 99%