Surgery

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Browsing Surgery by Subject "Biliary tree diseases,children,Surgical management"

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    Surgical management of biliary tree diseases in children at Tikur Anbessa Specialized Hospital :a10 year retrospective study
    (Addis Abeba University, 2021-06) Teshome, Abraham; Dr.Getachew, Hanna (Assistant Professor of General & Pediatric Surgery)
    Abstract Background Information-biliary tree diseases are diseases affecting bile ducts, gallbladder and other structures involved in production and transportation of bile. A diverse spectrum of diseases affects the biliary system, often presenting with similar clinical signs and symptoms. These conditions include gallstones, cholecystitis, cholangitis, biliary tract cysts, congenital biliary atresia and others. Biliary atresia is a progressive obstructive cholangiopathy of unknown etiology, occurring during the perinatal period. If left untreated it progresses to liver fibrosis and cirrhosis in the first few months of life. Timely Kasai porto-enterostomy restores bile flow enhancing survival and thus age at diagnosis is a potentially modifiable risk factor. choledocal cyst is a rare congenital anomaly of the bile duct which is defined as pathological dilatation of the bile duct. If left untreated it has complications which range from biliary duct obstruction to cholangiocarcinoma. Total cyst excision and biliary reconstruction is the treatment of choice. Little is known about the epidemiology of cholelithiasis in children. Cholelithiasis and choledocholithiasis have been increasingly diagnosed in recent years in children. This phenomenon may be attributed to better medical imaging (especially ultrasonography) and its usage in investigating children with unexplained abdominal pain and/or a genuine increase in the incidence. Objective- to assess clinical presentation, clinical course and outcome of pediatric patients operated at TASH with biliary tree diseases. Methodology: a retrospective study using structured questionnaire was used to collect data on pediatric patients operated at TASH for the diagnosis of biliary tree diseases from Jan 2010 to Jan 2020.The collected data was checked for completeness and analyzed using software SPSS 23. Results and discussion-60% of patients operated for biliary tree and 87% of choledocal cysts were females. More than 60% of biliary atresia patients were operated within the 1 3 months.75% of choledocal cyst was type I and the rest type II.1/3 of patients operated for BA had their jaundice cleared on follow up. Conclusion-age at KPE and post kasai jaundice clearance is low in our setting but similar with other African countries. Type II choledocal cyst is the 2 nd commonest type in our setting unlike other studies.