Anesthetic Considerations in Progressive Familial Intrahepatic Cholestasis (bylers Disease)

Muller, G.;Veyckemans, Francis;De Kock, Marc;Otte, Jean-Bernard;Sokal, Etienne;et.al.
(1995) Canadian Journal of Anaesthesia — Vol. 42, n° 12, p. 1126-1133 (1995)

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Authors
  • Muller, G.
    Author
  • Veyckemans, FrancisUCLouvain
    Author
  • De Kock, MarcUCLouvain
    Author
  • Otte, Jean-BernardUCLouvain
    Author
  • Carlier, MarianneUCLouvain
    Author
  • Sokal, EtienneUCLouvain
    Author
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Abstract
Progressive familial intrahepatic cholestasis (PFIC) or Byler's disease is one of the most common forms of intrahepatic cholestasis of metabolic and genetic origin Affected children progress to terminal cirrhosis before adulthood and at present the only curative treatment of PFIC is orthotopic liver transplantation (OLT). We present a retrospective review of 40 general anaesthetics administered in our hospital to 22 patients with PFIC undergoing various procedures. The clinical features of PFIC and the anaesthetic implications of chronic cholestasis in children (malnutrition, cirrhosis, portal hypertension, chronic hypoxaemia) are reviewed.
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Muller, G., Veyckemans, F., De Kock, M., Otte, J.-B., Carlier, M., Vanobbergh, LJ., & Sokal, E. (1995). Anesthetic Considerations in Progressive Familial Intrahepatic Cholestasis (bylers Disease). Canadian Journal of Anaesthesia, 42(12), 1126-1133. https://hdl.handle.net/2078.5/144541 (Original work published 1995)