Monday 19 June 2017

Operation of biliary duct obstruction in newborn | PGI Nov 2017 Preparations MCQ

NIME Next Batch PGI Quest in Delhi from 10 August to 20 August


Better prognostic factors for operation of biliary duct obstruction in newborn are 

A. No passage of bile 
B. size of ductule >200 micron 
C. Weight of baby >3 kg 
D. Preterm baby 
F. Age of 8 weeks


Ans. B. Size of ductule >200 micron ;(C) Weight of baby> 3 kg; (E) Age of 8 weaks :
• The factors influencing the outcome of billiary tract surgery are (i) Age of patient — better when operation is performed before the age of 8 weeks.
(ii) Microscopic stage of billiary tree: Patients with ductules greater than 200 micron diameter have good prognosis.

• A baby with adequate weight withstand the better surgical procedure.
• Prognosis also depends upon
— Extent of hepatic fibrosis.
— Presence of cholangitis.