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Erschienen in: Indian Journal of Pediatrics 7/2019

26.04.2019 | Scientific Letter

Triangular Cord Sign on Ultrasonography Does Not Indicate Disease Progression of Biliary Atresia

verfasst von: Kosuke Endo, Makiko Yoshida, Akiko Yokoi

Erschienen in: Indian Journal of Pediatrics | Ausgabe 7/2019

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Excerpt

To the Editor: Biliary atresia (BA) is a progressive disease, and the timing of Kasai portoenterostomy (KPE) is associated with the patient’s prognosis [1]. The degree of hepatic fibrosis at the time of KPE is predictive of poor outcome after the operation [2]. The triangular cord sign (TCS), hyperechoic band representing the fibrotic mass at the porta hepatis on ultrasonography, is useful for diagnosing BA [3, 4]. We therefore hypothesized that TCS-positive BA indicates BA progression and patients with TCS-negative BA should exhibit prognostic advantage. …
Literatur
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Zurück zum Zitat Wildhaber BE, Coran AG, Drongowski RA, et al. The Kasai portoenterostomy for biliary atresia: a review of a 27-year experience with 81 patients. J Pediatr Surg. 2003;38:1480–5.CrossRefPubMed Wildhaber BE, Coran AG, Drongowski RA, et al. The Kasai portoenterostomy for biliary atresia: a review of a 27-year experience with 81 patients. J Pediatr Surg. 2003;38:1480–5.CrossRefPubMed
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Zurück zum Zitat Takamizawa S, Zaima A, Muraji T, et al. Can biliary atresia be diagnosed by ultrasonography alone? J Pediatr Surg. 2007;42:2093–6.CrossRefPubMed Takamizawa S, Zaima A, Muraji T, et al. Can biliary atresia be diagnosed by ultrasonography alone? J Pediatr Surg. 2007;42:2093–6.CrossRefPubMed
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Zurück zum Zitat Batts KP, Ludwig J. Chronic hepatitis. An update on terminology and reporting. Am J Surg Pathol. 1995;19:1409–17.CrossRefPubMed Batts KP, Ludwig J. Chronic hepatitis. An update on terminology and reporting. Am J Surg Pathol. 1995;19:1409–17.CrossRefPubMed
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Zurück zum Zitat Balistreri WF, Grand R, Hoofnagle JH, et al. Biliary atresia: current concepts and research directions. Summary of a symposium. Hepatology. 1996;23:1682–92.CrossRefPubMed Balistreri WF, Grand R, Hoofnagle JH, et al. Biliary atresia: current concepts and research directions. Summary of a symposium. Hepatology. 1996;23:1682–92.CrossRefPubMed
Metadaten
Titel
Triangular Cord Sign on Ultrasonography Does Not Indicate Disease Progression of Biliary Atresia
verfasst von
Kosuke Endo
Makiko Yoshida
Akiko Yokoi
Publikationsdatum
26.04.2019
Verlag
Springer India
Erschienen in
Indian Journal of Pediatrics / Ausgabe 7/2019
Print ISSN: 0019-5456
Elektronische ISSN: 0973-7693
DOI
https://doi.org/10.1007/s12098-019-02967-8

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