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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한소아소화기영양학회 Pediatric Gastroenterology, Hepatology & Nutrition Pediatric Gastroenterology, Hepatology & Nutrition 제19권 제4호
- 발행연도
- 2016.1
- 수록면
- 286 - 290 (5page)
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Inspissated bile syndrome (IBS) is a rare condition in which thick intraluminal bile, including bile plugs, sludge, or stones, blocks the extrahepatic bile ducts in an infant. A 5-week-old female infant was admitted for evaluation of jaundice and acholic stool. Diagnostic tests, including ultrasound sonography, magnetic resonance chol-angiopancreatography, and a hepatobiliary scan, were not conclusive. Although the diagnosis was unclear, the clin-ical and laboratory findings improved gradually on administration of urodeoxycholic acid and lipid emulsion containing omega-3 polyunsaturated fatty acids (PUFAs) for 3 weeks. However, a liver biopsy was suggestive of biliary atresia. This finding forced us to perform intraoperative cholangiography, which revealed a patent common bile duct with impacted thick bile. We performed normal saline irrigation and the symptom was improved, the final diagnosis was IBS. Thus, we herein report that IBS can be treated with omega-3 PUFAs as an alternative to surgical intervention.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Bernstein J / 1969 / Bile-plug syndrome: a correctable cause of obstructive jaundice in infants / Pediatrics 43:273~276
Lightwood R / 1946 / Biliary obstruction associated with icterus gravis neonatorum / Arch Dis Child 21:209~217
Heaton ND / 1991 / Intraluminal biliary obstruction / Arch Dis Child 66:1395~1398
Berger S / 2013 / Onestage laparoscopic surgery for inspissated bile syndrome: case report and review of surgical techniques / Springerplus 2:648
Gunnarsdóttir A / 2008 / Laparoscopic aided cholecystostomy as a treatment of inspissated bile syndrome / J Pediatr Surg 43:e33~e35
Lightwood R / 1946 / Biliary obstruction associated with icterus gravis neonatorum / Arch Dis Child 21:209~217
Heaton ND / 1991 / Intraluminal biliary obstruction / Arch Dis Child 66:1395~1398
Berger S / 2013 / Onestage laparoscopic surgery for inspissated bile syndrome: case report and review of surgical techniques / Springerplus 2:648
Gunnarsdóttir A / 2008 / Laparoscopic aided cholecystostomy as a treatment of inspissated bile syndrome / J Pediatr Surg 43:e33~e35
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