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BILIARY ATRESIA

Presented by :Tooba M.Ali


Presented to:Madam zara
BILIARY ATRESIA
• Definition
Is a progressive inflammatory process that cause
both intrahepatic and extrahepatic bile duct fibrosis,
resulting in eventual ductal obstruction.
ETIOLOGY
• the exact cause of BA is unknown, although
• Immune mechanism of viral injury.
• Viral Infection in Susceptible Infants.
CLINICAL MANIFESTATIONS
1. Jaundice
2. Dark yellow urine
3. Stools lighter
4. Hepatomegaly
5. Abdominal distention
6. Poor weight gain
7. Growth failure
8. Pruritus
9. Irritability
DIAGNOSTIC EVALUATION
BLOOD TESTS:
• cbc
• Electrolytes
• Bilirubin
• Liver enzymes
LABORATORY ANALYSIS
• Alpha1 antitrypsin Level
• TORCH titers
• Hepatitis serology
• Urine CMV
• Abdominal ultrasonography
• Hepatobiliary scintigraphy
• Endoscopic retrograde cholangiopancreatography
• Percutaneous liver biopsy
THERAPEUTIC MANAGEMENT
• Bile drainage
• Prophylactic antibiotics
• Nutritional support
• Medium-chain triglycerides
• Essential fatty acids
• Supplement with fat soluble vitamins(A D E K)
• Multivitamins and minerals
NURSING MANAGEMENT
• support of family before during and after surgical p
procedure
• Education regarding treatment plan
• Teaching include the proper administration of medi
cation
• Administration of nutritional therapy
• Psychology support

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