Prepregnancy Assessment of Liver Function to Predict Perinatal and Postpregnancy Outcomes in Biliary Atresia Patients with Native Liver
Considering that some biliary atresia (BA) survivors with native liver have reached reproductive age and face long-lasting complications, specific attention needs to be paid to pregnant cases. This study aimed to investigate the relationship between liver function, perinatal outcomes, and prognosis....
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doaj-ec696d8201f24d2891f88c853c3f937c2021-09-09T13:49:51ZengMDPI AGJournal of Clinical Medicine2077-03832021-08-01103956395610.3390/jcm10173956Prepregnancy Assessment of Liver Function to Predict Perinatal and Postpregnancy Outcomes in Biliary Atresia Patients with Native LiverNobuhiro Takahashi0Daigo Ochiai1Yohei Yamada2Masumi Tamagawa3Hiroki Kanamori4Mototoshi Kato5Satoru Ikenoue6Yoshifumi Kasuga7Tatsuo Kuroda8Mamoru Tanaka9Department of Pediatric Surgery, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Pediatric Surgery, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Pediatric Surgery, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Pediatric Surgery, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Pediatric Surgery, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo 160-8582, JapanConsidering that some biliary atresia (BA) survivors with native liver have reached reproductive age and face long-lasting complications, specific attention needs to be paid to pregnant cases. This study aimed to investigate the relationship between liver function, perinatal outcomes, and prognosis. A database review was conducted to identify pregnant BA cases with native liver and perinatal data, and clinical information on BA-related complications was analyzed. Perinatal serum cholinesterase (ChE) levels, model for end-stage liver-disease (MELD) score, and platelet trends were analyzed, and the association between these indicators and perinatal outcomes was investigated. Patients were categorized into three groups according to the perinatal clinical outcomes: favorable (term babies with or without several episodes of cholangitis; <i>n</i> = 3), borderline (term baby and following liver dysfunction; <i>n</i> = 1), and unfavorable (premature delivery with subsequent liver failure; <i>n</i> = 1). Lower serum ChE levels, lower platelet counts, and higher MELD scores were observed in the unfavorable category. Borderline and unfavorable patients displayed a continuous increase in MELD score, with one eventually needing a liver transplantation. Pregnancy in patients with BA requires special attention. Serum ChE levels, platelet counts, and MELD scores are all important markers for predicting perinatal prognosis.https://www.mdpi.com/2077-0383/10/17/3956pregnancybiliary atresiachorine esteraseMELD scoreliver transplantation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nobuhiro Takahashi Daigo Ochiai Yohei Yamada Masumi Tamagawa Hiroki Kanamori Mototoshi Kato Satoru Ikenoue Yoshifumi Kasuga Tatsuo Kuroda Mamoru Tanaka |
spellingShingle |
Nobuhiro Takahashi Daigo Ochiai Yohei Yamada Masumi Tamagawa Hiroki Kanamori Mototoshi Kato Satoru Ikenoue Yoshifumi Kasuga Tatsuo Kuroda Mamoru Tanaka Prepregnancy Assessment of Liver Function to Predict Perinatal and Postpregnancy Outcomes in Biliary Atresia Patients with Native Liver Journal of Clinical Medicine pregnancy biliary atresia chorine esterase MELD score liver transplantation |
author_facet |
Nobuhiro Takahashi Daigo Ochiai Yohei Yamada Masumi Tamagawa Hiroki Kanamori Mototoshi Kato Satoru Ikenoue Yoshifumi Kasuga Tatsuo Kuroda Mamoru Tanaka |
author_sort |
Nobuhiro Takahashi |
title |
Prepregnancy Assessment of Liver Function to Predict Perinatal and Postpregnancy Outcomes in Biliary Atresia Patients with Native Liver |
title_short |
Prepregnancy Assessment of Liver Function to Predict Perinatal and Postpregnancy Outcomes in Biliary Atresia Patients with Native Liver |
title_full |
Prepregnancy Assessment of Liver Function to Predict Perinatal and Postpregnancy Outcomes in Biliary Atresia Patients with Native Liver |
title_fullStr |
Prepregnancy Assessment of Liver Function to Predict Perinatal and Postpregnancy Outcomes in Biliary Atresia Patients with Native Liver |
title_full_unstemmed |
Prepregnancy Assessment of Liver Function to Predict Perinatal and Postpregnancy Outcomes in Biliary Atresia Patients with Native Liver |
title_sort |
prepregnancy assessment of liver function to predict perinatal and postpregnancy outcomes in biliary atresia patients with native liver |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2021-08-01 |
description |
Considering that some biliary atresia (BA) survivors with native liver have reached reproductive age and face long-lasting complications, specific attention needs to be paid to pregnant cases. This study aimed to investigate the relationship between liver function, perinatal outcomes, and prognosis. A database review was conducted to identify pregnant BA cases with native liver and perinatal data, and clinical information on BA-related complications was analyzed. Perinatal serum cholinesterase (ChE) levels, model for end-stage liver-disease (MELD) score, and platelet trends were analyzed, and the association between these indicators and perinatal outcomes was investigated. Patients were categorized into three groups according to the perinatal clinical outcomes: favorable (term babies with or without several episodes of cholangitis; <i>n</i> = 3), borderline (term baby and following liver dysfunction; <i>n</i> = 1), and unfavorable (premature delivery with subsequent liver failure; <i>n</i> = 1). Lower serum ChE levels, lower platelet counts, and higher MELD scores were observed in the unfavorable category. Borderline and unfavorable patients displayed a continuous increase in MELD score, with one eventually needing a liver transplantation. Pregnancy in patients with BA requires special attention. Serum ChE levels, platelet counts, and MELD scores are all important markers for predicting perinatal prognosis. |
topic |
pregnancy biliary atresia chorine esterase MELD score liver transplantation |
url |
https://www.mdpi.com/2077-0383/10/17/3956 |
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