The newborn's face is yellow and the stool is gray, which may be the cause of biliary atresia.

Zhou Jiaman, director of pediatric surgery at Taichung Rong General Hospital, said that parents can use the baby feces identification card provided by the children's health manual provided by the national health institutions, and they should seek medical treatment as soon as possible if they find any abnormality.

A newborn born more than 20 days, at the age of 265,438+0 days and 2 months, underwent laparotomy because the stool was grayish white. Biliary atresia was ruled out, but because of the split wound, the newborn was sutured by laparotomy again, the jaundice index continued to rise, and there was also gray stool. Biliary atresia was always suspected, until I went to Taiwan Province for a general examination four and a half months ago. The doctor suggested an operation, but the parents were worried about the previous operation.

If biliary atresia is not treated in time, it may lead to death due to liver failure.

Although the newborn underwent Gersey operation late, the jaundice index dropped to normal two days after operation and one month after operation. At present, he is two and a half years old and his jaundice index is normal. However, due to the high liver function index, the outpatient service is still followed up regularly. Zhou Jiaman, director of pediatric surgery at Taichung Rong General Hospital, pointed out that when the extrahepatic bile duct is blocked, bile cannot be discharged and stagnates in the liver, it will cause biliary atresia. At this point, the baby will have skin jaundice, brown urine, yellow or light gray stool and other symptoms. If not treated in time, he may not live to be two years old, which will lead to liver failure and death.

Use the baby stool identification card to identify abnormalities and seek medical attention as soon as possible.

According to literature reports, the incidence of infant biliary atresia is the highest in East Asia, including Taiwan Province Province and Japan, with 0.8 to 1.5 per 10,000 live births. According to the statistics of Taiwan Province Biliary Atresia Foundation, there are about 30 to 40 new cases of biliary atresia in China every year, but 30% of them fail to find treatment in time. Director Zhou Jiaman said that in addition to judging whether there is jaundice by the baby's skin or white eyes, you can also use the baby stool identification card provided by the Children's Health Manual provided by the national health department. If there is any abnormality, you should seek medical advice as soon as possible.

Seize the golden period of 60 days of treatment to improve the success rate of operation

If it is highly suspected that the baby is biliary atresia, it is suggested that surgery can be performed, intraoperative cholangiography can be done, and Gertrude surgery can be performed after biliary atresia is confirmed. If we can grasp the golden period of 60 days after delivery, the success rate will also increase. Director Zhou Jiaman pointed out that since 1998, the hospital has been actively carrying out laparoscopic and thoracoscopic surgery for children. In the past three years, nearly 200 cases of minimally invasive surgery have been completed every year.

Liver transplantation in 80% patients with long-term cholangitis and poor prognosis

If Gertrude's operation is not effective, liver transplantation can be used. Even if it is diagnosed three months later, the success rate can reach 90%. However, after Gertrude's successful operation, there may still be symptoms such as fibrosis or biliary inflammation. Director Zhou Jiaman reminded that only about one-sixth of patients were completely cured without complications after surgery, and those without complications within two years after surgery were more likely to be completely cured. However, the prognosis of patients with chronic and recurrent cholangitis is poor, and 80% patients are afraid of receiving liver transplantation. Therefore, through laparoscopic cholangiography, we can diagnose whether there is biliary atresia as soon as possible and perform surgery to prolong the waiting time of liver transplantation.

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