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Doctor insights on: Relieve Itching Patients Biliary Atresia

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Dr. Faisal Qureshi
154 doctors shared insights

Biliary Atresia (Definition)

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 ...Read more


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How is biliary atresia typically diagnosed?

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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Biliary atresia, is it a hereditary condition?

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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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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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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What nutritional concerns should I be aware of if I am suffering from biliary atresia?

Fats, A,D,E,K, Zinc: Biliary atresia patients may have problems absorbing fats, can lead to deficiencies of fat soluble vitamins a, d, e, k, and calories. Can also have problems with zinc nutrition, should see doc and rd re: feeding and supplement plan. ...Read more

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Biliary atresia treatment?

Kasai procedure: Biliary atresia is most often diagnosed in the neonates. The first line treatment is a surgical procedure called portoenterotomy (kasai) in which a loop of intestine is connected to the liver to act as a conduit for bile drainage in place of the missing bile ducts. The beneficial effects of this procedure, however, is often short-lived many children went on to require liver transplantation. ...Read more

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What is the liver biliary atresia?

Biliary atresia: Biliary atresia is a congenital scarring of the biliary ducts. These ducts transport bile made in the liver to the intestine so one can digest fats. The ducts scar and obliterate. Bile then cannot exit the liver which poisons the liver. These infants need corrective surgery before they are 2 months old. ...Read more

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Is biliary atresia detected before birth?

Is biliary atresia detected before birth?

No: Biliary atresia is unsuspected until there is a persistent rise in bilirubin of the direct type. Initial imaging study should be a preprandial gall bladder ultrasound to see if gall bladder is present. ...Read more

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Is surgery a possible cure for biliary atresia?

Is surgery a possible cure for biliary atresia?

YES: Biliary atresia involves both intra- and extra hepatic bile duct pathology. Standard extrahepatic bypass can provide extended survival for a minority of patients. Liver transplantation provides the only possibility for cure, though it carries with it significant morbidity and mortality. ...Read more

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What are available treatment options for biliary atresia?

Surgery: Kasai procedure attaches liver to bowel to drian bile. Nutrition support, especially for calories, fats, fat soluble vitamins, zn. May need liver transplant. ...Read more

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What happens if the initial treatment for biliary atresia fails?

What happens if the initial treatment for biliary atresia fails?

Transplant: Treatment for biliary atresia is a kasai procedure which should be done before 60 days of life to be effective. One third of patients will do well and be cured. One third will do well for a period of time(years) but will eventually need a liver transplant. The final third will fail kasai and need a liver transplant sooner. ...Read more

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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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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 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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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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Dr. Gerald Mandell
1 doctor shared a insight

Biliary (Definition)

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


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