Top 20 Doctor insights on: Atresia biliary

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Is biliary atresia hereditary?

No: There is no proof that it is hereditary. Fortunately it is quite rare. ...Read more

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Dr. Howard Schneider
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Biliary (Definition)

Biliary means anything related to the production, storage, secretion, or flow of bile, whether in the liver, bile ducts, gallbladder, ...Read more


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What exactly is biliary atresia?

What exactly is biliary atresia?

Birth defect: Malformation and scarrng obliteration of the bile ducts. Starts at birrth and progresses. Any infant who is jaundiced after one month of age needs a bilirubim level and a gallbladder ultrasound. Will need surgical correction prior to 60 days of life. ...Read more

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What is done for biliary atresia?

What is done for biliary atresia?

Depends on situation: If picked up early enough, some respond to surgery to re-establish bile flow. If operated later than 10 weeks of age, most will need a liver transplant to survive. All cases are quite unique & conferring with the treatment team will provide the best information. ...Read more

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Anyone's baby got biliary atresia?

Anyone's baby got biliary atresia?

Yes: Several in las vegas. About one third do well. One third will do well for a time and will eventually need a liver transplant. Another third do not benefit from a kasai procedure and go straight to liver transplant. ...Read more

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What exactly causes biliary atresia?

What exactly causes biliary atresia?

See below: The causes of biliary atresia are not well established and are probably multifactorial; genetic factors may play a permissive role in some cases, but infectious, toxic, or immunologic mechanisms are probably involved. ...Read more

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What is the disorder biliary atresia?

What is the disorder biliary atresia?

Bile Duct Blockage: The bile duct carries the bile formed in the liver to the small intestine. Any disease that narrows, scars, or obstructs the duct can be called atresia. In some cases a patient is born with a narrow duct, called congenital atresia. In other cases chronic inflammation, infection, or even rejection of a liver transplant can cause scarring or narrowing of the duct. ...Read more

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What are the tests for biliary atresia?

Multiple: Usually start with laboratory tests followed by ultrasound, scintigraphy and biopsy. The gold standard is an operative cholangiogram. ...Read more

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How is biliary atresia generally treated?

Surgery: Once the diagnosis is made and if the baby is considered an appropriate candidate, the approach is surgical. As the problem is lack of drainage of bile from the liver to the intestine, a new connection is made between the liver and intestine. It is called a portoenterostomy or a kasai procedure. Sometimes the child is not a candidate and may need transplantation of liver. ...Read more

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Describe the features of biliary atresia.?

See below: Jaundice (yellow eyes and skin) is the first sign of ba. The onset occurs any time from birth up to 8 weeks of age, and it is unlikely to appear later. Some infants have pale, gray (acholic) stools. Most infants have dark urine because of bilirubin excretion into the urine. If the jaundice has gone unnoticed and the disease progresses an enlarged liver and spleen may develop. ...Read more

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How is biliary atresia typically diagnosed?

Multidisciplinary: This diagnosis is made by a team of neonatologists, pediatric surgeons and pediatric gastroenterologists. It includes blood test, an ultrasound, a nuclear scan called hida scan to evaluate drainage of the liver, a liver biopsy and finally a cholangiogram. As you can see it is not straightforward and that is why so many specialists are required. ...Read more

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What are common symptoms of biliary atresia?

Jaundice: Yellow discoloration of the whites of eyes, skin, darkening of urine and pale acholic stools. Elevation of direct bilirubin. Absence of gall bladder on ultrasound. ...Read more

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What is biliary atresia and how is it treated?

Obstruction of bile: Biliary atresia is a disease of infants and newborns that results in obliteration of the bile dusts resulting in jaundice and eventually liver failure. It needs to be addressed early before infant is two months old. Surgery can correct it in one third of the cases. Any baby who is jaundiced after three weeks of age needs to be worked up. ...Read more

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Biliary atresia, is it a hereditary condition?

Not hereditary: Scientists do know that biliary atresia is not hereditary; parents do not pass it on to their child. It is also not contagious, and it is not preventable. ...Read more

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Who is more likely at risk for biliary atresia?

Post Transplant: There are two forms of biliary atresia - congenital (at birth) or acquired. The acquired type most often occurs in the setting of autoimmune disease (though no way to calculate risk) and is one form of chronic rejection of a transplanted liver allograft. ...Read more

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What happens if the biliary atresia is left untreated?

What happens if the biliary atresia is left untreated?

Liver failure: True biliary atresia with chronic biliary retention causes cirrhosis (scarring) of the liver, leads to liver failure, unless treated. ...Read more

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What are common symptoms and signs of biliary atresia?

What are common symptoms and signs of biliary atresia?

Jaundice: Persistent jaundice in the newborn which is of the direct type or conjugated type is the early sign of biliary atresia. If it goes undetected in the newborn period, the child can develop liver failure. ...Read more

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Are there different options for treating biliary atresia?

Depends: Ba describes a variable issue that is basicly plumbing too small to let the waste drain out of the liver. Intrahepatic (small drainpipes inside the liver) it is worse than extrahepatic (pipes outside liver). If a bypass can be created by 6-8wks, drainage can improve. However, many of these must have living donor partial liver transplant when or if the liver fails. ...Read more

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What is the definition or description of: Biliary atresia?

What is the definition or description of: Biliary atresia?

Biliary Atresia: Biliary atresia abnormal biliary tract that block bile from
moving from liver to intestine. Bile backs up in the liver causing scarring and damage to liver cells. Symptoms become apparent from 2 - 8 weeks of age
Below is a website with more information about biliary atresia
https://www. Cincinnatichildrens. Org/health/b/biliary ...Read more

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How often does biliary atresia occur and who is more likely at risk?

1/ 10-20, 000 births: The cause of biliary atresia is unknown, although several mechanisms have been implicated including viral infections, genetic causes and toxin exposure. ...Read more

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Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more


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