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Congenital Biliary Atresia-Reply

Congenital Biliary Atresia-Reply Abstract In Reply.—Now, for the first time, I have read the article by McCarry and Pence.1 The procedure described by the authors was to create a satisfactory fistula between one portion of the liver and the intestinal tract by making a stab wound through the hepatic attachment of the gallbladder deep into the liver parenchyma and anastomosing the gallbladder to the intestine. However, the surgical procedure was quite different from those of Longmire and Sanford2 and of Kasai et al;3 especially, the operation reported by Kasai et al3 was reasonable, safe, and acceptable to many pediatric surgeons. On the other hand, the procedure used by McCarry and Pence was very dangerous and not always successful, although, fortunately, in their patient bleeding during surgery was very scanty and good bile flow was obtained. It is probably for these reasons that no further efforts were made along these References 1. McCarry F, Pence LC: Surgical relief of external biliary duct atresia . West J Surg Obstet Gynecol 58:714-715, 1950. 2. Longmire WP Jr, Sanford MC: Intrahepatic cholangiojejunostomy with partial hepatectomy for biliary obstruction . Surgery 24:264-276, 1948. 3. Kasai M, Kimura S, Wagatsuma M, et al: Die chirurgischen Behandlungen der angeborenen Missbildungen des Gallengangs . Therapiewoche 12:710-712, 1963. 4. Kobayashi A, Utsunomiya T, Ohbe Y, et al: Ascending cholangitis after successful surgical repair of biliary atresia . Arch Dis Child 48:697-703, 1973.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Congenital Biliary Atresia-Reply

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Congenital Biliary Atresia-Reply

Abstract

Abstract In Reply.—Now, for the first time, I have read the article by McCarry and Pence.1 The procedure described by the authors was to create a satisfactory fistula between one portion of the liver and the intestinal tract by making a stab wound through the hepatic attachment of the gallbladder deep into the liver parenchyma and anastomosing the gallbladder to the intestine. However, the surgical procedure was quite different from those of Longmire and Sanford2 and of Kasai et al;3...
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References (4)

Publisher
American Medical Association
Copyright
Copyright © 1977 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1977.02120200096025
Publisher site
See Article on Publisher Site

Abstract

Abstract In Reply.—Now, for the first time, I have read the article by McCarry and Pence.1 The procedure described by the authors was to create a satisfactory fistula between one portion of the liver and the intestinal tract by making a stab wound through the hepatic attachment of the gallbladder deep into the liver parenchyma and anastomosing the gallbladder to the intestine. However, the surgical procedure was quite different from those of Longmire and Sanford2 and of Kasai et al;3 especially, the operation reported by Kasai et al3 was reasonable, safe, and acceptable to many pediatric surgeons. On the other hand, the procedure used by McCarry and Pence was very dangerous and not always successful, although, fortunately, in their patient bleeding during surgery was very scanty and good bile flow was obtained. It is probably for these reasons that no further efforts were made along these References 1. McCarry F, Pence LC: Surgical relief of external biliary duct atresia . West J Surg Obstet Gynecol 58:714-715, 1950. 2. Longmire WP Jr, Sanford MC: Intrahepatic cholangiojejunostomy with partial hepatectomy for biliary obstruction . Surgery 24:264-276, 1948. 3. Kasai M, Kimura S, Wagatsuma M, et al: Die chirurgischen Behandlungen der angeborenen Missbildungen des Gallengangs . Therapiewoche 12:710-712, 1963. 4. Kobayashi A, Utsunomiya T, Ohbe Y, et al: Ascending cholangitis after successful surgical repair of biliary atresia . Arch Dis Child 48:697-703, 1973.Crossref

Journal

American Journal of Diseases of Children – American Medical Association

Published: Jul 1, 1977

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