Atresia of the biliary tract
Atresia of the biliary tractoccurs in several variants: A. out-and intrahepatic passages. Basics a symptom of vice is the yellowness of the skin and the sclera of the eyes from the first days of life. Jaundice is gradually increasing. Feces are discolored from the moment of birth, urine has the color of dark beer.
After 2-3 weeks, the liver increases due to the addition of cholestatic hepatitis. Stable and significant hyperbili-rubinemia. Differentiate with physiological jaundice, conflict hemolytic jaundice, blockage of the bile ducts by mucous plug, giant cell hepatitis, etc. To clarify the diagnosis, it is advisable. liver and gallbladder,laparoscopy,diagnosticlaparotomy.Examination of all children with jaundice should be carried out in surgical. hospital in the first weeks and months of life.
TREATMENT surgical; is shown no later than 2 - 3 months of life. At partial And. Anastomoses with a duodenum are imposed. When A. external passages ("uncorrected type") impose portohepa-tikoyeyoyanoanastomoz.