胆道閉鎖症術後黄疸消褪例における黄疸再出現, 死亡例の検討

抄録

In 142 patients with biliary atresia in whom jaundice disappeared after successful treatment, 76 patients had recurrence of jaundice or fatal complications. Only 29 patients recovered from these conditions, but 18 patients still have jaundice and another 29 died. We analyzed the data of these 142 patients and following results were obtained ; 1) Type II obstruction (obstruction at hepatic duct) showed worst results; 2) High incidence of complication was seen in patients with subtype a obstruction (obstruciton of hepatic port or hepatic duct, but patent common bile duct) ; 3) Poor prognosis was observed in subgroup β (obstruction at common bile duct with patent but very narrow hepatic duct) if complication occurred; 4) Rate of recovery after treatment for complications were better in patients having the initial operation at younger age; 5 ) More than four-fifth of the patients with a history of cholangitis showed severe complications; 6) There are no differences among surgical procedures; 7) Fifty seven percent of the patines had complications within one year after the primary operaiton.