{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:34:21Z","timestamp":1792197261234,"version":"4.4.0"},"reference-count":23,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T00:00:00Z","timestamp":1625097600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/Purpose<\/jats:title><jats:p>The biliary atresia (BA) inflammatory process leads to various obstructive patterns of extrahepatic biliary trees. The significance of the various BA obstructive patterns is unclear. This study aimed to determine the relationship between the anatomical patterns of the biliary tract and short\u2010 and long\u2010term prognoses in BA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between 1989 and 2018, 3483 patients were registered in the Japanese Biliary Atresia Registry. For this study, we selected 2649 patients who underwent Kasai portoenterostomy (KP) between the ages of 31 and 90\u00a0days to eliminate the influence of age at KP as much as possible.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Regarding the main type, there were significant differences in the jaundice clearance rate (JCR; Type I: 67.9%, Type I\u2010cyst: 79.4%, Type II: 74.5%, Type III: 60.9%; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.0001) and the native liver survival rate (NLSR; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.0001). In subgroups with hepatic radicles in Types I, II, and I\u2010cyst, there was a significant difference in JCR (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.0004) and NLSR (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.0026). In subgroups with hepatic radicles in Type III, there was a significant difference in JCR (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.0148) and NLSR (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.0421).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Anatomical patterns of obstruction influenced short\u2010 and long\u2010term prognoses in BA. These patterns were suggested to be prognostic factors following KP.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhbp.989","type":"journal-article","created":{"date-parts":[[2021,6,10]],"date-time":"2021-06-10T19:26:44Z","timestamp":1623353204000},"page":"931-941","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Anatomical patterns of biliary atresia including hepatic radicles at the porta hepatis influence short\u2010 and long\u2010term prognoses"],"prefix":"10.1002","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3208-1872","authenticated-orcid":false,"given":"Hideyuki","family":"Sasaki","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery Tohoku University Graduate School of Medicine Sendai Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5862-1067","authenticated-orcid":false,"given":"Masaki","family":"Nio","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Tohoku University Graduate School of Medicine Sendai Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3411-3292","authenticated-orcid":false,"given":"Hisami","family":"Ando","sequence":"additional","affiliation":[{"name":"Aichi Developmental Disability Center Kasugai Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroaki","family":"Kitagawa","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery St. Marianna University School of Medicine Kawasaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masayuki","family":"Kubota","sequence":"additional","affiliation":[{"name":"Kokura Minami Medical Care Hospital Kitakyusyu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsuya","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Fujita Health University Graduate School of Medicine Toyoake Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoaki","family":"Taguchi","sequence":"additional","affiliation":[{"name":"Fukuoka College of Health Sciences Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Hashimoto","sequence":"additional","affiliation":[{"name":"Mashiko Memorial Hospital Nagoya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"The Japanese Biliary Atresia Society","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.510230652"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-017-4163-7"},{"key":"e_1_2_8_4_1","first-page":"115","article-title":"Biliary atresia","volume":"1","author":"Ohi R","year":"1992","journal-title":"Semin Pediatr Surg"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-017-4160-x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3182300950"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2019.08.026"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000012005"},{"key":"e_1_2_8_9_1","first-page":"CD008735","article-title":"Glucocorticosteroids for infants with biliary atresia following Kasai portoenterostomy","volume":"2018","author":"Tyraskis A","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.sempedsurg.2012.05.010"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-014-1024-z"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2009.07.051"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-015-3771-3"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2006.08.019"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0143939"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.510290331"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2019.04.022"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-018-4316-3"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-002-0843-y"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-010-2715-1"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2001.24730"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2015.08.040"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2016.09.047"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(87)80212-9"}],"container-title":["Journal of Hepato-Biliary-Pancreatic Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhbp.989","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jhbp.989","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhbp.989","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T08:07:10Z","timestamp":1693210030000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jhbp.989"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":23,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1002\/jhbp.989"],"URL":"https:\/\/doi.org\/10.1002\/jhbp.989","archive":["Portico"],"relation":{},"ISSN":["1868-6974","1868-6982"],"issn-type":[{"value":"1868-6974","type":"print"},{"value":"1868-6982","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7]]},"assertion":[{"value":"2021-02-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-01","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}