@article{oai:niigata-u.repo.nii.ac.jp:00015189, author = {飯沼, 泰史 and 岩渕, 眞 and 内山, 昌則 and 八木, 実 and 金田, 聡 and 大滝, 雅博 and 山崎, 哲}, issue = {10}, journal = {新潟医学会雑誌, 新潟医学会雑誌}, month = {Oct}, note = {To evaluate long-term postsurgical outcome of hepatobiliary diseases in children, a total of 192 patients with these diseases were studied. They consisted of 75 patients with congenital biliary dilatation (CBD), 18 with portal hypertension (PH), and 99 with biliary atresia (BA). In CBD patients, 14 of 75 patients underwent internal drainage (ID) procedure, and the rest of them underwent cyst excision with hepaticoenterostomy (CEHE). In 11 of the 14 patients who underwent ID procedure, severe complications were observed, on the other hand, the result of 57 of the 61 patients who underwent CHHE were satisfactory. In PH patients, 13 of the 18 patients underwent non-shunt operation with Sugiura's procedure, and the rest of them underwent other procedure. The patients who underwent Sugiura's procedure under 6 years of age and the patients who underwent other procedure experienced gastrointestinal re-bleeding after initial treatment in the long term. In BA patients, jaundice disappeared in 49 of 99 patients. Of the 49 patients, 33 patients survived. Of the 33 patients, only 11 patients with jaundice free had no post-operative complication, but the rest of them had various complications. Our data suggest that some patients with hepatobiliary disease in children deteriorate postoperatively. As the length of follow-up increases, clinical assessment should be regularly performed and comprehensive analysis is necessary.}, pages = {381--385}, title = {3)小児外科領域における肝胆道疾患の長期予後(シンポジウム 成長, 発達を考慮した小児の治療, 第555回新潟医学会)}, volume = {114}, year = {2000} }