caa a22 4500 46577279X CHVBK 20180323111933.0 cr unu---uuuuu 170327e19900201xx s 000 0 eng 10.1007/BF00178222 doi (NATIONALLICENCE)springer-10.1007/BF00178222 Improved weight gain following closure of exteriorized conduit for biliary atresia [Elektronische Daten] [Joseph Levy, R. Altman, Gerald Salen, Dorcas Konigsberger] Accelerated weight-gain velocity was observed in five infants with extraheptic biliary atresia following closure of the exteriorized conduit. Despite excellent bile drainage (daily volumes 150-900 ml) and refeeding of this fluid to the efferent limb, steatorrhea occurred in three patients and was suspected in the other two. Total bile-acid concentrations in the bile collected prior to refeeding into the jejunum were below the critical micellar concentration in most of the specimens tesred. The nutritional consequences of bile diversion need to be balanced against the beneficial effects in diminishing the incidence of postoperative cholangitis. We postulate that fat malabsorption occured in these children because of inadequate bile-acid concentrations and inefficient fat emulsification. Bile acids were normally conjugated with glycine and taurine. Springer-Verlag, 1990 Biliary atresia nationallicence Malabsorption nationallicence Bile acids nationallicence Kasai portoenterostomy nationallicence Malnutrition nationallicence Levy Joseph Department of Pediatrics (JL and DK), Babies Hospital in the Presbyterian Hospital, New York, USA aut Altman R. Department of Pediatric Surgery, Babies Hospital in the Presbyterian Hospital, New York, USA aut Salen Gerald UMD-NJ Medical School, Newark, New Jersey, USA aut Konigsberger Dorcas Department of Pediatrics (JL and DK), Babies Hospital in the Presbyterian Hospital, New York, USA aut Pediatric Surgery International Springer-Verlag 5/2(1990-02-01), 91-93 0179-0358 5:2<91 1990 5 383 https://doi.org/10.1007/BF00178222 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00178222 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Levy Joseph Department of Pediatrics (JL and DK), Babies Hospital in the Presbyterian Hospital, New York, USA aut NATIONALLICENCE 700 1- Altman R. Department of Pediatric Surgery, Babies Hospital in the Presbyterian Hospital, New York, USA aut NATIONALLICENCE 700 1- Salen Gerald UMD-NJ Medical School, Newark, New Jersey, USA aut NATIONALLICENCE 700 1- Konigsberger Dorcas Department of Pediatrics (JL and DK), Babies Hospital in the Presbyterian Hospital, New York, USA aut NATIONALLICENCE 773 0- Pediatric Surgery International Springer-Verlag 5/2(1990-02-01), 91-93 0179-0358 5:2<91 1990 5 383 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer