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Title: Use of appendix in biliary atresia.
Authors: Gupta, D K
Rohatgi, M
Issue Date: 1-Jul-1989
Citation: Gupta DK, Rohatgi M. Use of appendix in biliary atresia. Indian Journal of Pediatrics. 1989 Jul-Aug; 56(4): 479-82
Abstract: Antiperistaltic appendiceal conduit based on its vascular pedicle was used as hepaticoporto-appendico-jejunostomy (HAJ) in 9 infants with advanced stage of biliary atresia. Operative procedure was simple and less time consuming. The postoperative cholangitis was conspicuously absent, possibly due to the role played by the presence of lymphoid follicles in the wall of the appendix. Our early experience with this technique shows that antiperistaltic appendiceal conduit works quite satisfactorily. The procedure has been successfully utilised to reduce the problems contributing post-operative morbidity and mortality in cases with the advanced disease. The HAJ procedure provides a conduit for bilioenteric drainage, that closely resembles to normal anatomy.
Appears in Collections:Indian Journal of Pediatrics

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