INTRODUCTION: Without @entity99 is the only definitive surgical therapy for @entity1 with @entity2876 . Unfortunately, clearance of @entity1087 by the procedure is not promising. Pre-operative data that may predict the outcome is of great value in the selection of surgical candidates. Early post-operative determinants of outcome also help in follow-up planning. OBJECTIVE: To determine peri-operative factors influencing @entity1087 clearance after @entity99 in @entity1 with @entity2876 . @entity1 AND METHOD: Clinical and laboratory data of pediatric @entity1 undergoing @entity99 in Songklanagarind Hospital from 1988 to 2001 were reviewed regarding age at operation, clinical presentation, gross pathology of bile duct @entity1146 , liver function profiles and changes after the procedure, liver pathology and post-operative ascending @entity255 . Univariate comparison followed by multivariate logistic regression analysis was analyzed against the clearance of @entity1087 . Statistical analysis was aided by the Stata 7.0 program. Statistical significance was set at p-value less than 0.05. RESULTS: There were 62 @entity1 operated on during the thirteen-year period. Four cases of @entity204 and a case lost to follow-up before the second post-operative month was excluded. The median age at the operation was 78 days (34-326 days). Twenty-four cases (42.1%) presented with signs of @entity101 . After the operation, 19 cases (33.4%) were @entity1087 free, 6 cases (10.5%) had fair clearance and 32 cases (56.1%) had a poor result. Univariate analysis revealed an association between age at surgery and @entity1087 clearance. Post-operative stool color and decline of total @entity648 level at one month after surgery were significantly correlated with the outcome (p < 0.01). @entity255 within the first post-operative month significantly had an adverse effect on the short-term survival probability. Multivariate analysis showed an independent association of @entity1087 clearance with age at surgery and type of bile duct @entity1146 . CONCLUSION: Age of the @entity1 younger than 60 days and type I of bile duct @entity1146 were the key determinants of successful @entity99 . Early @entity255 was an accelerator of progressive @entity82 . Stool color and @entity648 level at one month after surgery can be used as predictors of @entity1087 clearance.

Peri-operative factors predicting the outcome of @entity99 in @entity1 with XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS', 'infants'] @entity82 :: ('MESH:D005355', 'Disease') :: ['cirrhosis'] @entity1087 :: ('MESH:D007565', 'Disease') :: ['jaundice'] @entity101 :: ('MESH:D006973', 'Disease') :: ['portal hypertension'] @entity648 :: ('MESH:D001663', 'Chemical') :: ['bilirubin'] @entity2876 :: ('MESH:D001656', 'Disease') :: ['biliary atresia'] @entity1146 :: ('MESH:D018633', 'Disease') :: ['atresia'] @entity99 :: ('MESH:D056486', 'Disease') :: ['hepatic porto-enterostomy', 'hepatic transplantation, hepatic porto-enterostomy'] @entity204 :: ('MESH:D003643', 'Disease') :: ['operative death'] @entity255 :: ('MESH:D002761', 'Disease') :: ['Cholangitis', 'cholangitis']
@entity2876 :: (MESH:D001656,Disease) :: ['biliary atresia']
