Diagnosis and Management of Biliary Tract Diseases in Adulthood and at Pediatric Age

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Pathology and Molecular Diagnostics".

Deadline for manuscript submissions: closed (31 August 2020) | Viewed by 4354

Special Issue Editor


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Guest Editor
Children’s Hospital Santobono-Pausilipon, 80129 Naples, Italy
Interests: liver diseases; hepatology; fatty liver; insulin resistance; liver transplantation; liver failure; liver diseases and immunology; biliary tract diseases; metabolism
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Special Issue Information

Dear Colleagues,

Extrahepatic biliary obstruction, intrahepatic biliary disruption, and impaired bile secretion by hepatocytes may lead to cholestasis at all ages. Pathogenic mechanisms of cholestasis in adults are widely different form children, although congenital malformations and genetic/metabolic liver diseases may occur or persist in adolescence/adulthood. An age-related diagnostic approach to cholestasis and its management includes differences mostly related to the narrow use of invasive procedures in children, which limits some critical diagnostic steps, such as liver biopsy or imaging. Moreover, in the pediatric age bracket, diagnostic algorithms are generally disease-oriented and involve a multidisciplinary team (e.g., pediatric hepatologists, metabolite experts, neonatologists, radiologists, and surgeons), as they occur in biliary atresia, the most common cause of neonatal/infantile cholestasis which needs an early surgical referral to optimize the success rate. The aim of this Special Issue is to deal with the challenging diagnosis and management of biliary tract diseases, highlighting strengths and limits at all ages.

Dr. Claudia Mandato
Guest Editor

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Keywords

  • Cholestasis
  • Biliary tract disease
  • Liver biopsy
  • Children

Published Papers (1 paper)

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Research

13 pages, 1143 KiB  
Article
Long-Term Effects of Kasai Portoenterostomy for Biliary Atresia Treatment in Russia
by Anna Degtyareva, Alexander Razumovskiy, Nadezhda Kulikova, Sergey Ratnikov, Elena Filippova, Ekaterina Gordeeva, Marina Albegova, Denis Rebrikov and Anna Puchkova
Diagnostics 2020, 10(9), 686; https://doi.org/10.3390/diagnostics10090686 - 11 Sep 2020
Cited by 11 | Viewed by 4043
Abstract
This prospective study enrolled 144 patients after surgical treatment of biliary atresia in early infancy. We analyzed the immediate effectiveness of the surgery and the age-related structure of complications in the up to 16-year follow-up. The immediate 2-year survival rate after the surgery [...] Read more.
This prospective study enrolled 144 patients after surgical treatment of biliary atresia in early infancy. We analyzed the immediate effectiveness of the surgery and the age-related structure of complications in the up to 16-year follow-up. The immediate 2-year survival rate after the surgery constituted 49.5%. At the time of this writing, 17 of the patients had celebrated their 10th birthdays with good quality of life and no indications for transplantation of the liver. The obtained results underscore the critical importance of surgical correction of biliary atresia by Kasai surgery in the first 60 days of life and subsequent dynamic follow-up of patients for the purpose of the early detection and timely correction of possible complications. Full article
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