KASAI SURGERY: INDICATIONS AND TECHNIQUES
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Brazilian Journal of Implantology and Health Sciences |
Texto Completo: | https://bjihs.emnuvens.com.br/bjihs/article/view/1723 |
Resumo: | The Kasai procedure, or hepatoportoenterostomy, is a surgical procedure used in the treatment of biliary atresia in neonates. This congenital condition results in the obstruction of the bile ducts, leading to the accumulation of bile in the liver. The goal of the Kasai procedure is to restore bile flow by bypassing the obstruction. During the surgery, an anastomosis is created between the liver and a portion of the small intestine, allowing direct drainage of bile. The choice of a specific technique, such as the Y or H anastomosis, depends on the anatomical characteristics of the patient. Intraoperative examination, often assisted by cholangiography, is crucial to assess the permeability of the anastomosis. Although the Kasai procedure can be effective when performed early, its feasibility is contingent on the extent of the obstruction and the presence of complications. In cases where surgery is insufficient to maintain proper bile flow or when there is progression to advanced liver cirrhosis, liver transplantation becomes an important therapeutic alternative. This multidisciplinary approach, involving hepatologists, pediatric surgeons, specialized nurses, and other healthcare professionals, is essential for accurate diagnosis, the appropriate choice of surgical technique, and postoperative management. In summary, the Kasai procedure plays a crucial role in the treatment of biliary atresia, but its effectiveness is inherently linked to early intervention and collaboration among different medical specialties. |
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KASAI SURGERY: INDICATIONS AND TECHNIQUESCIRUGIA DE KASAI: INDICAÇÕES E TÉCNICAS Cirurgia de Kasai, Hepatoportoenterostomia, Atresia Biliar.Kasai Surgery, Hepatoportoenterostomy, Biliary Atresia.The Kasai procedure, or hepatoportoenterostomy, is a surgical procedure used in the treatment of biliary atresia in neonates. This congenital condition results in the obstruction of the bile ducts, leading to the accumulation of bile in the liver. The goal of the Kasai procedure is to restore bile flow by bypassing the obstruction. During the surgery, an anastomosis is created between the liver and a portion of the small intestine, allowing direct drainage of bile. The choice of a specific technique, such as the Y or H anastomosis, depends on the anatomical characteristics of the patient. Intraoperative examination, often assisted by cholangiography, is crucial to assess the permeability of the anastomosis. Although the Kasai procedure can be effective when performed early, its feasibility is contingent on the extent of the obstruction and the presence of complications. In cases where surgery is insufficient to maintain proper bile flow or when there is progression to advanced liver cirrhosis, liver transplantation becomes an important therapeutic alternative. This multidisciplinary approach, involving hepatologists, pediatric surgeons, specialized nurses, and other healthcare professionals, is essential for accurate diagnosis, the appropriate choice of surgical technique, and postoperative management. In summary, the Kasai procedure plays a crucial role in the treatment of biliary atresia, but its effectiveness is inherently linked to early intervention and collaboration among different medical specialties.A cirurgia de Kasai, ou hepatoportoenterostomia, é um procedimento cirúrgico utilizado no tratamento da atresia biliar em neonatos. Essa condição congênita resulta na obstrução das vias biliares, levando à acumulação de bile no fígado. O objetivo da cirurgia de Kasai é restabelecer o fluxo biliar, contornando a obstrução. Durante a cirurgia, uma anastomose é criada entre o fígado e uma porção do intestino delgado, permitindo a drenagem direta da bile. A escolha da técnica específica, como a anastomose em Y ou em H, depende das características anatômicas do paciente. O exame intraoperatório, frequentemente auxiliado por colangiografia, é crucial para avaliar a permeabilidade da anastomose. Embora a cirurgia de Kasai possa ser eficaz quando realizada precocemente, sua viabilidade está condicionada à extensão da obstrução e à presença de complicações. Em casos nos quais a cirurgia não é suficiente para manter um adequado fluxo biliar, ou quando há progressão para cirrose hepática avançada, o transplante hepático torna-se uma alternativa terapêutica importante. Essa abordagem multidisciplinar, envolvendo hepatologistas, cirurgiões pediátricos, enfermeiros especializados e outros profissionais de saúde, é essencial para um diagnóstico preciso, escolha adequada da técnica cirúrgica e manejo pós-operatório. Em resumo, a cirurgia de Kasai desempenha um papel crucial no tratamento da atresia biliar, mas sua eficácia está intrinsecamente ligada à abordagem precoce e à colaboração entre diferentes especialidades médicas.Specialized Dentistry Group2024-03-20info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/172310.36557/2674-8169.2024v6n3p1719-1732Brazilian Journal of Implantology and Health Sciences ; Vol. 6 No. 3 (2024): BJIHS QUALIS B3; 1719-1732Brazilian Journal of Implantology and Health Sciences ; Vol. 6 Núm. 3 (2024): BJIHS QUALIS B3; 1719-1732Brazilian Journal of Implantology and Health Sciences ; v. 6 n. 3 (2024): BJIHS QUALIS B3; 1719-17322674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEporhttps://bjihs.emnuvens.com.br/bjihs/article/view/1723/1940Copyright (c) 2024 Lara Elias Habr, Nathalia Coelho Fernandes, Indiara Maria Távora Gorgen, Isabella de Mendonça Alves Rodrigues Moura, Gustavo Rocha Barcelos, Gabriella Mendonça Leão de Oliveira, Daniel Bozzi Teixeira, Isabela Zabisky Floresta, João Gabriel Rodrigues Carneiro, Luísa Dias Alencastro Veiga, Raquel Rios de Castro Pontes, Leonardo Mailho Maroubo, Eduardo Gomes Fernandes, Vinicius Hideki Hamassaki Uema https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessHabr, Lara EliasFernandes, Nathalia CoelhoGorgen, Indiara Maria TávoraMoura, Isabella de Mendonça Alves RodriguesBarcelos, Gustavo RochaOliveira, Gabriella Mendonça Leão deTeixeira, Daniel BozziFloresta, Isabela ZabiskyCarneiro, João Gabriel RodriguesVeiga, Luísa Dias AlencastroPontes, Raquel Rios de CastroMaroubo, Leonardo MailhoFernandes, Eduardo GomesUema , Vinicius Hideki Hamassaki2024-03-23T16:28:02Zoai:ojs.bjihs.emnuvens.com.br:article/1723Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2024-03-23T16:28:02Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false |
dc.title.none.fl_str_mv |
KASAI SURGERY: INDICATIONS AND TECHNIQUES CIRUGIA DE KASAI: INDICAÇÕES E TÉCNICAS |
title |
KASAI SURGERY: INDICATIONS AND TECHNIQUES |
spellingShingle |
KASAI SURGERY: INDICATIONS AND TECHNIQUES Habr, Lara Elias Cirurgia de Kasai, Hepatoportoenterostomia, Atresia Biliar. Kasai Surgery, Hepatoportoenterostomy, Biliary Atresia. |
title_short |
KASAI SURGERY: INDICATIONS AND TECHNIQUES |
title_full |
KASAI SURGERY: INDICATIONS AND TECHNIQUES |
title_fullStr |
KASAI SURGERY: INDICATIONS AND TECHNIQUES |
title_full_unstemmed |
KASAI SURGERY: INDICATIONS AND TECHNIQUES |
title_sort |
KASAI SURGERY: INDICATIONS AND TECHNIQUES |
author |
Habr, Lara Elias |
author_facet |
Habr, Lara Elias Fernandes, Nathalia Coelho Gorgen, Indiara Maria Távora Moura, Isabella de Mendonça Alves Rodrigues Barcelos, Gustavo Rocha Oliveira, Gabriella Mendonça Leão de Teixeira, Daniel Bozzi Floresta, Isabela Zabisky Carneiro, João Gabriel Rodrigues Veiga, Luísa Dias Alencastro Pontes, Raquel Rios de Castro Maroubo, Leonardo Mailho Fernandes, Eduardo Gomes Uema , Vinicius Hideki Hamassaki |
author_role |
author |
author2 |
Fernandes, Nathalia Coelho Gorgen, Indiara Maria Távora Moura, Isabella de Mendonça Alves Rodrigues Barcelos, Gustavo Rocha Oliveira, Gabriella Mendonça Leão de Teixeira, Daniel Bozzi Floresta, Isabela Zabisky Carneiro, João Gabriel Rodrigues Veiga, Luísa Dias Alencastro Pontes, Raquel Rios de Castro Maroubo, Leonardo Mailho Fernandes, Eduardo Gomes Uema , Vinicius Hideki Hamassaki |
author2_role |
author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Habr, Lara Elias Fernandes, Nathalia Coelho Gorgen, Indiara Maria Távora Moura, Isabella de Mendonça Alves Rodrigues Barcelos, Gustavo Rocha Oliveira, Gabriella Mendonça Leão de Teixeira, Daniel Bozzi Floresta, Isabela Zabisky Carneiro, João Gabriel Rodrigues Veiga, Luísa Dias Alencastro Pontes, Raquel Rios de Castro Maroubo, Leonardo Mailho Fernandes, Eduardo Gomes Uema , Vinicius Hideki Hamassaki |
dc.subject.por.fl_str_mv |
Cirurgia de Kasai, Hepatoportoenterostomia, Atresia Biliar. Kasai Surgery, Hepatoportoenterostomy, Biliary Atresia. |
topic |
Cirurgia de Kasai, Hepatoportoenterostomia, Atresia Biliar. Kasai Surgery, Hepatoportoenterostomy, Biliary Atresia. |
description |
The Kasai procedure, or hepatoportoenterostomy, is a surgical procedure used in the treatment of biliary atresia in neonates. This congenital condition results in the obstruction of the bile ducts, leading to the accumulation of bile in the liver. The goal of the Kasai procedure is to restore bile flow by bypassing the obstruction. During the surgery, an anastomosis is created between the liver and a portion of the small intestine, allowing direct drainage of bile. The choice of a specific technique, such as the Y or H anastomosis, depends on the anatomical characteristics of the patient. Intraoperative examination, often assisted by cholangiography, is crucial to assess the permeability of the anastomosis. Although the Kasai procedure can be effective when performed early, its feasibility is contingent on the extent of the obstruction and the presence of complications. In cases where surgery is insufficient to maintain proper bile flow or when there is progression to advanced liver cirrhosis, liver transplantation becomes an important therapeutic alternative. This multidisciplinary approach, involving hepatologists, pediatric surgeons, specialized nurses, and other healthcare professionals, is essential for accurate diagnosis, the appropriate choice of surgical technique, and postoperative management. In summary, the Kasai procedure plays a crucial role in the treatment of biliary atresia, but its effectiveness is inherently linked to early intervention and collaboration among different medical specialties. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-03-20 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/1723 10.36557/2674-8169.2024v6n3p1719-1732 |
url |
https://bjihs.emnuvens.com.br/bjihs/article/view/1723 |
identifier_str_mv |
10.36557/2674-8169.2024v6n3p1719-1732 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/1723/1940 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Specialized Dentistry Group |
publisher.none.fl_str_mv |
Specialized Dentistry Group |
dc.source.none.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences ; Vol. 6 No. 3 (2024): BJIHS QUALIS B3; 1719-1732 Brazilian Journal of Implantology and Health Sciences ; Vol. 6 Núm. 3 (2024): BJIHS QUALIS B3; 1719-1732 Brazilian Journal of Implantology and Health Sciences ; v. 6 n. 3 (2024): BJIHS QUALIS B3; 1719-1732 2674-8169 reponame:Brazilian Journal of Implantology and Health Sciences instname:Grupo de Odontologia Especializada (GOE) instacron:GOE |
instname_str |
Grupo de Odontologia Especializada (GOE) |
instacron_str |
GOE |
institution |
GOE |
reponame_str |
Brazilian Journal of Implantology and Health Sciences |
collection |
Brazilian Journal of Implantology and Health Sciences |
repository.name.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE) |
repository.mail.fl_str_mv |
journal.bjihs@periodicosbrasil.com.br |
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1796798446368194560 |