Friday, 30 October 2015

Prognostic factors for operation of biliary duct obstruction in newborn | PGI Frequently Asked Medical PG topics

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.