Overview

Biliary Atresia, Hepatic Buffer Response and Sevoflurane

Status:
Completed
Trial end date:
2014-02-01
Target enrollment:
0
Participant gender:
All
Summary
To evaluate the effects of sevoflurane on hepatic blood flow (HBF) and hepatic arterial buffer response (HABR) in infants with obstructive jaundice by Doppler ultrasound.Twenty-five infants with biliary atresia (1-3 months-of-age) scheduled for a Kasai procedure were enrolled. portal vein blood flow (PBF), hepatic arterial blood flow (HABF) and hepatic blood flow (HBF) were measured by Doppler ultrasound before induction, and after inhalation of 2 and 3% sevoflurane.
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Children's Hospital of Fudan University
Treatments:
Sevoflurane
Criteria
Inclusion Criteria:

- persistent yellow skin or sclera, pale stool (in severe cases, clay-like), and
hepatomegaly;

- increased serum bilirubin (progressively or no decline after increase), increased
total bilirubin (TBil) dominated by increased direct bilirubin (DBil) (>60%);

- elevated liver enzymes;

- ultrasound confirmation of poor gallbladder filling and signs of liver fibrosis;

- with radionuclide imaging confirmation of obstructed biliary excretion

Exclusion Criteria:

- concomitant cardiovascular or abdominal organ malformations