{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T14:24:49Z","timestamp":1792419889353,"version":"4.5.0"},"reference-count":37,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2010,8,1]],"date-time":"2010-08-01T00:00:00Z","timestamp":1280620800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. pediatr. gastroenterol. nutr."],"published-print":{"date-parts":[[2010,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>In patients with biliary atresia (BA), liver fibrosis and cirrhosis commonly occur even after Kasai hepatoportoenterostomy. Although liver biopsy is the gold standard to evaluate liver fibrosis, it is invasive and may result in life\u2010threatening complications. The aspartate aminotransferase\u2010to\u2010platelet ratio index (APRI) is a safe and simple method to assess liver fibrosis in patients with chronic liver diseases. To use APRI as a postoperative follow\u2010up tool, we validated the diagnostic power of APRI for the degree of liver fibrosis in postoperative patients with BA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>Patients with newly diagnosed BA who underwent the Kasai procedure between March 2006 and May 2009 were analyzed. Several laboratory tests including APRI were performed. Liver wedge biopsy specimens were obtained during the surgical procedure, and histopathologic analyses were performed using the Metavir classification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Thirty\u2010five patients (12 boys, median age of 1.9 months) were enrolled. Metavir scores were F1 in 0, F2 in 11, F3 in 11, and F4 in 13 patients. The areas under the receiver operating characteristics curves for F \u2265 3 and F = 4 were 0.92 and 0.91, respectively. Distinct optimal cutoff values of APRI for F \u2265 3 and F = 4 were obtained (1.01 and 1.41, respectively). Clinical outcomes of patients were significantly different between 2 groups (noncirrhosis vs cirrhosis) based on APRI before and 3 months after the Kasai procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>APRI may be used as a simple and readily available tool for assessing liver fibrosis without additional risks in patients with BA during postoperative follow\u2010up care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/mpg.0b013e3181da1d98","type":"journal-article","created":{"date-parts":[[2010,6,5]],"date-time":"2010-06-05T03:38:27Z","timestamp":1275709107000},"page":"198-202","source":"Crossref","is-referenced-by-count":86,"title":["Assessment of Liver Fibrosis and Cirrhosis by Aspartate Aminotransferase\u2010to\u2010Platelet Ratio Index in Children With Biliary Atresia"],"prefix":"10.1002","volume":"51","author":[{"given":"Sang Yong","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Pediatrics Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae Yeon","family":"Seok","sequence":"additional","affiliation":[{"name":"Department of Pathology Ajou University College of Medicine Suwon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seok Joo","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Yonsei University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong","family":"Koh","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,8]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1172\/JCI31487"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2007.11.053"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/jhep.2003.50346"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e31812e56ff"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/jhep.2000.16602"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.510300624"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1053\/jhep.2002.36381"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200102153440706"},{"key":"e_1_2_5_10_1","first-page":"1021","article-title":"Medical practices and expectations of general practitioners in relation to hepatitis C virus infection in the Auvergne 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