Articles Vol. 63 No. chuyên đề 1-BV Nhi Thái Bình (2022) 16/09/2022

EVALUATE OF LIVER CIRRHOSIS BY THE APRI INDEX IN KASAI SURGERY TO TREAT CONGENITAL BILIARY ATRESIA TYPE III

Vu Tien Tung1,2, Nguyen Huy Toan3,4, Nguyen Thi Tuyet Trinh5,6, Trinh Thanh Vinh5,6, Nguye Thi Mai Phuong1,2
1 Thai Binh Pediatric Hospital
2 Bệnh viện Nhi Thái Bình
3 Hoa Binh General Hospital, Cu Chinh Lan
4 Bệnh viện đa khoa tỉnh Hòa Bình, Cù Chính Lan
5 Thai Binh University of Medicine and Pharmacy
6 Trường Đại học Y Dược Thái Bình
Corresponding author: tungvt@tbump.edu.vn
DOI: 10.52163/yhc.v63iChuyên đề tháng 9.397
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Keywords
Kasai, APRi, biliary atresia.
Abstract

Objective: To evaluate the degree of cirrhosis of the pediatric patients treated with Kasai surgery at
the National Children’s Hospital through the APRi index.
Subjects and Methods: A retrospective descriptive study of a 172 patients diagnosed with congenital
biliary atresia, treated by Kasai surgery with extensive hilar fibrosis at National Children’s Hospital
from January 2016 to December 2020.
Result: The mean APRi index before surgery was 1.77±1.43. Mean APRi score re-evaluated after
1 month was 1.9± 4.34 and the mean APRi after 6 months was 1.71±2.9. Comparison of APRi
scores before surgery and 6 months after surgery showed a statistically significant difference with p
< 0.0001.
Conclusion: The APRi index before surgery and 6 months after surgery is closely related to the
mortality rate after Kasai surgery to treat congenital biliary atresia in children.

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