Biliary Atresia Part II

This podcast is a discussion of the international approach to diagnosis and management of biliary atresia, amongst Dr. Todd Ponsky, Dr. Yamataka Atsuyuki, Dr. Greg Tiao, Dr. Mark Davenport, and Dr. Jorge Bezerra. Dr. Greg Tiao is the Director of General and Thoracic Surgery, Frederick C. Ryckman Chair in Pediatric Surgery, Surgical Director of Liver Transplantation, and Associate Director of the Pediatric Surgery Fellowship at Cincinnati Children’s Hospital. Dr. Yamataka Atsuyuki is Professor and Head of Pediatric General and Urogenital Surgery at Juntendo University in Tokyo, Japan. Dr. Mark Davenport is the Head of Department of Pediatric Surgery and Professor at King’s College Hospital, London, and immediate past President of BAPS. Dr. Jorge Bezerra is the Director of the Division of Gastroenterology, Hepatology and Nutrition, and Medical Director of the Pediatric Liver Care Center at Cincinnati Children’s Hospital. Time Stops: 00:01:41 Gastroenterology: Back to beginning for evaluation 00:04:10 Future Evaluation Options 00:05:48 Post-operative Steroids 00:11:15 Steroid Regimens 00:16:17 Potential side effects of steroids 00:18:07 Timing of steroid initiation 00:19:03 Post-Operative Antibiotics 00:20:14 Post-Operative Nutrition 00:21:08 Case 2: 100-day-old infant with a similar presentation 00:25:23 Case 3: Patient younger than two weeks with similar presentation 00:27:08 Post-Operative Complications 00:27:19 Cholangitis 00:30:17 Non-clearance of bilirubin 00:32:30 Role of cytomegalovirus (CMV) 00:37:24 Patients with initial clearance of jaundice who then require transplantation Intro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626