Analyse du retard au diagnostic de l’atrésie des voies biliaires

Campion, A.; Guimber, D.; Michaud, Laurent; Bonnevalle, M.; Turck, Dominique; Gottrand, Frédéric

doi:10.1016/s0929-693x(00)00251-7

Cited by 8 publications

(5 citation statements)

References 13 publications

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“…15 The lack of knowledge and awareness about early detection of BA among primary healthcare providers is the important cause of delayed diagnosis of BA. 6 In this study, there were 40.5% of the primary health care provider stated that newborns < 28 days old may have normal (physiological) jaundice, which is characterized by icteric sclera, pale stools, and dark urine. Infants suffering from BA generally appear as healthy as any other infant when they are neonates.…”

Section: Discussionmentioning

confidence: 78%

“…The lack of knowledge and awareness about early detection of BA among primary healthcare providers is the important cause of delayed diagnosis of BA. 6 This study aims to analyses the knowledge about BA and evaluate the effectiveness of health education to increase knowledge of primary health care providers in early detection of BA in infants. Increasing primary health care awareness by conducting an educational seminar on early detection of BA was expected in this study.…”

Section: Introductionmentioning

confidence: 99%

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Early detection of biliary atresia in primary health care: still a problem

Setyoboedi

Prihaningtyas²,

Utomo³

et al. 2022

F1000Res

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Background: Biliary atresia is the leading cause of liver transplantation in children. Early detection of biliary atresia is crucial for diagnosis and disease progression. The purpose of this study was to analyze knowledge about biliary atresia and the effectiveness of health education in increasing the knowledge of primary health care providers. Methods: A quasi-experimental study with pretest and posttest designs was carried out in Sidoarjo, East Java using a self-administered questionnaire. The intervention using health education was delivered by pediatrician and consultant of pediatric gastro hepatology. There were 13 questions on the questionnaire, question numbers 1 to 6 were about normal and abnormal neonatal jaundice, question numbers 7 to 13 were about biliary atresia. Results: A total of 252 participants were involved, the mean age of the participants was 40.7 ± 9.4 years old. Most of the participants were midwives (61.9%) and 77.8% of participants have years of service in primary health care > 5 years. A total of 40.5% participants stated that newborns may have physiological jaundice, which was characterized by icteric sclera, pale stools, and dark urine. A total of 27,4% and 24,2% participants said that all jaundice in newborn will always improve on their own and newborn with prolonged jaundice does not need further examination, respectively. There was an increase in the median value in the pretest and posttest knowledge scores after interventional health education (p < 0,05). Conclusions: The primary health care provider understands about biliary atresia, however, the initial knowledge about early detection of biliary atresia is not evenly distributed in all primary health care providers. These findings suggest that improving knowledge to early detection of biliary atresia is needed. Health education can be used effectively in increasing knowledge about biliary atresia.

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Section: Discussionmentioning

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Early detection of biliary atresia in primary health care: still a problem

Setyoboedi

Prihaningtyas²,

Utomo³

et al. 2022

F1000Res

View full text Add to dashboard Cite

show abstract

“…Bien que les selles décolorées et les urines foncées fussent les premiers symptômes les plus observés par les parents (Tableau 2), elles ne constituaient pas le principal motif de consultation dans notre contexte. Certains auteurs ont rapporté des résultats similaires [24].…”

Section: Discussionunclassified

“…Il s'agit de la polysplénie, du signe du « cône fibreux ». Le triangle hyperéchogène au hile du foie a une sensibilité, une spécificité et une valeur prédictive positive très élevées de l'ordre de 95,7 ; 73,9 ; 84,8 et 78,6 % respectivement pour le diagnostic de l'AVB [20][21][22][23][24][25][26]. Les comptes rendus des échographistes étaient incomplets pour l'AV.…”

Section: Discussionunclassified

Prise en charge de la cholestase à début néonatal chez l’enfant : comment pouvons-nous faire mieux ?

Nguefack

Awa

Dongmo³

et al. 2015

Journal de Pédiatrie et de Puériculture

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“…Campion e col., analisando retrospectivamente 21 casos de AVBEH, verificaram que, apesar da existência de sinais de colestase aos 12 dias de vida, somente três crianças foram submetidas à cirurgia antes do 45º dia. Cerca de oito crianças avaliadas pela primeira vez em torno do 21º dia de vida, por apresentarem pelo menos um dado de colestase, não foram submetidas a qualquer análise laboratorial nessa consulta 13 .…”

Section: Manifestações Clínicasunclassified

Atresia biliar extra-hepática: métodos diagnósticos

Cauduro¹

2003

J. Pediatr. (Rio J.)

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The referring of patients bearers of EHBA to centers of references in Brazil, is still made tardily, probably due to lack of enlightenment of the doctors of primary attention, allied to bureaucratic and technological difficulties. The experience in England in relation to the "Yellow Alert" program, allowed that the number of children referred to surgical treatment before the 60 days of life increased significantly. Among the complementary methods, the MR cholangiography, ultrasonography and hepatic biopsy should be used, depending on the technological resources of the diagnosis units.

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Analyse du retard au diagnostic de l’atrésie des voies biliaires

Cited by 8 publications

References 13 publications

Early detection of biliary atresia in primary health care: still a problem

Early detection of biliary atresia in primary health care: still a problem

Prise en charge de la cholestase à début néonatal chez l’enfant : comment pouvons-nous faire mieux ?

Atresia biliar extra-hepática: métodos diagnósticos

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