The Intestinal Flora at Kasai Procedure in Children with Biliary Atresia Appears Not to Affect Postoperative Cholangitis.

Omid Madadi-SanjaniNagoud SchukfehMarie UeckerStefanie EckmannJens DingemannBenno M UreClaus PetersenJoachim F Kuebler

Published in: European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie (2020)

We found that our antibiotic regiment covered bacteria in the upper gastrointestinal (GI) tract in the majority of our patients at the time of Kasai. Nonetheless, a significant proportion of patients developed signs of cholangitis. There was no higher rate of cholangitis in patients with resistant bacteria. Thus, our data do not support the hypothesis of extended postoperative intravenous antibiotics to prevent ascending cholangitis.

Keyphrases

end stage renal disease
patients undergoing
ulcerative colitis
ejection fraction
chronic kidney disease
newly diagnosed
young adults
peritoneal dialysis
prognostic factors
electronic health record
high dose
big data
patient reported outcomes
artificial intelligence