Peri Kasai Portoenterostomy Anchoring of the Jejunal Loop

T

Tanta University

Status

Enrolling

Conditions

Biliary Atresia

Treatments

Procedure: kasai portoenterostomy

Study type

Interventional

Funder types

Other

Identifiers

NCT04961034
33943/7/20

Details and patient eligibility

About

the study of the effect o the hanging of the jejunal loop to the peri KPE Glisson capsule on the rate of bile drainage and requirement of liver transplantation

Full description

To evaluate the effect of anchoring jejunal loop to Glisson capsule of liver after completion of modified Kasai portoenterostomy (KPE) on the frequency of attacks of cholangitis and the overall incidence of native liver survival. Methods: Retrospective study included 29 infants diagnosed as biliary atresia (BA). They were subjected to modified KPE. Two subgroups were present. Group A included 16 infants and had KPE. Group B included 13 infants and had the assumed modification. Wider dissection of fibrous portal plate was considered in both groups. After completion of KPE, the jejunal loop anchored to Glisson capsule of liver at porta hepatis in group B.

Enrollment

26 estimated patients

Sex

All

Ages

4 to 8 weeks old

Volunteers

No Healthy Volunteers

Inclusion criteria

infants with biliary atresia diagnosed and treated before 60th day of age

Exclusion criteria

infants older than 60 days

Trial design

26 participants in 2 patient groups

classic KPE
Other group
Description:
the classic management of biliary atresia as described
Treatment:
Procedure: kasai portoenterostomy
modified KPE
Other group
Description:
we added 2 sutures posterior, one on each side and two anterior. this will hang the jejunal loop to promote tension free anastomosis
Treatment:
Procedure: kasai portoenterostomy

Trial contacts and locations

0

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Central trial contact

Mohammad Khirallah

Data sourced from clinicaltrials.gov

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