Hung W T, Su C T
Department of Surgery, National Taiwan University Hospital, Taipei.
J Pediatr Surg. 1990 Jul;25(7):797-800. doi: 10.1016/s0022-3468(05)80024-7.
Since 1982 we have developed a diagnostic method for differentiation between atretic prolonged obstructive jaundice (biliary atresia) and nonatretic prolonged obstructive jaundice in a neonate. The first report was presented at the Fukuoka Meeting in 1983. Analysis of duodenal juice (excretion test of intravenous injected hepatolite into the duodenum) has proved to be extremely reliable to differentiate biliary atresia from nonatretic prolonged obstructive jaundice. The major diagnostic features of the study are (1) biliary tract to bowel transit of radiotracer, and (2) observation on color of duodenal juice. Diagnostic accuracy was 98.4%. It is time-saving, requiring only 6 hours, noninvasive, and simple.
自1982年以来，我们开发了一种诊断方法，用于区分新生儿闭锁性长期阻塞性黄疸（胆道闭锁）和非闭锁性长期阻塞性黄疸。首次报告于1983年在福冈会议上发表。十二指肠液分析（将静脉注射的肝显影剂注入十二指肠的排泄试验）已被证明在区分胆道闭锁和非闭锁性长期阻塞性黄疸方面极为可靠。该研究的主要诊断特征为：（1）放射性示踪剂在胆道至肠道的转运，以及（2）对十二指肠液颜色的观察。诊断准确率为98.4%。该方法省时，仅需6小时，无创且操作简单。
