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Prognostic Factors of Lai et al for a Patient with Biliary Atresia

Description

Lai et al identified prognostic factors for patients with biliary atresia (BA). These can help to identify patients who may be able to survive for some time without the need for liver transplantation. The authors are from National Taiwan University Hospital in Taipei.


 

Patient selection: biliary atresia treated with the Kasai procedure

 

Parameters:

(1) age at the time of surgery (Kasai operation)

(2) quality of bile flow

(3) frequency of cholangitis

(4) long-term prophylactic antibtiotics

(5) number of intrahepatic cysts

Parameter

Finding

Points

age at the time of surgery

< 60 days of age

1

 

>= 60 days of age

0

quality of bile flow

good, especially if jaundice free

1

 

fair to poor

0

frequency of cholangitis

low

1

 

high

0

long-term antibiotic prophylaxis

yes

1

 

no

0

number of intrahepatic cysts

0 or 1

1

 

multiple

0

 

total number of favorable factors =

= SUM(points for all 5 factors)

 

Interpretation:

• minimum score: 0

• maximum score: 5

• The greater the number of favorable factors the better the prognosis.

 


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