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7/5/2023

admin
in Biliary atresia

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You are asked to assess a 7-week-old infant with a history of jaundice and acholic stools. Serum total and direct bilirubin and gamma-glutamyl transferase (GGT) are elevated. Serum α-1-antitrypsin and thyroid testing are normal. Abdominal ultrasound identifies a small, contracted gallbladder. What is the next best step in the management of this infant?

 

A Hepatobiliary iminodiacetic acid (HIDA) scan

 

B Percutaneous liver biopsy

 

C Endoscopic Retrograde Cholangiopancreatography (ERCP)

 

D Magnetic Resonance Cholangiopancreatography (MRCP)

 

E Intra-operative cholangiogram and possible Kasai procedure​
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