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Cholangiography via laparoscopy in the differential diagnosis of neonatal hepatitis and bile duct atresia

Costa, F.; Marchese, L.T.; Carrilho, F.J.; Komatsu, E.S.; Villari Filho, S.

Arquivos de Gastroenterologia 20(1): 24-27

1983

ISSN/ISBN: 0004-2803
PMID: 6226259
Document Number: 217100
Twenty-three infants with neonatal cholestasis were examined laparoscopically. The differential diagnosis between biliary atresia and neonatal hepatitis was not established by-clinical and laboratory investigations. In 10 out of 23 cases the transcutaneous-transhepatic-cholangiography, performed with laparoscopy demonstrated the permeability of the biliary tree in children that are not suffering from the atresia. The hepatic biopsy by laparoscopic view allowed to complete the investigation in these cases, avoiding unnecessary laparotomy. In infants suffering from biliary atresia the surgery indication was early and exact.

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