Atsuyuki Yamataka

30 statements · 1 topic

Biliary Atresia · guest expert

Featured statements

▶ Ep 14 · 23:09
Tokyo approach to late presenters: decision based on timing of acholic stool onset, not chronological age—if acholic from birth, consider primary transplant; if yellow stool for first month of life, proceed to Kasai even at 100 days
clinical · Biliary Atresia
▶ Ep 14 · 11:15
Tokyo protocol: start prednisone 4mg/kg/day after CRP normalizes post-op, taper over 15 days (4→3→2→1→0.5mg/kg, 3 days each), return to higher dose if stool becomes acholic
clinical · Biliary Atresia

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Atsuyuki's statements about Biliary Atresia 30 statements

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Biliary Atresia Part I

▶ Ep 13 · 4:07
quote When we show the stool card, you know, they can understand what we are saying. So when we're talking to the parents, stool card, I feel very, very effective. ↗
▶ Ep 13 · 4:07
quote When we show the stool card, you know, they can understand what we are saying. So when we're talking to the parents, stool card, I feel very, very effective. ↗
▶ Ep 13 · 7:32
clinical Infants who initially had yellow stool that became clay-colored have better prognosis than those with clay-colored stool immediately after passing meconium. ↗
▶ Ep 13 · 7:32
clinical Infants who initially had yellow stool that became clay-colored have better prognosis than those with clay-colored stool immediately after passing meconium. ↗
▶ Ep 13 · 21:41
clinical Liver exteriorization with a small incision can cause kinking of hepatic veins. ↗
▶ Ep 13 · 21:41
clinical Liver exteriorization with a small incision can cause kinking of hepatic veins. ↗
▶ Ep 13 · 23:17
clinical Recent data from Juntendo shows liver function might be worse in the midterm follow-up for patients who had laparoscopic Kasai compared to open surgery. ↗
▶ Ep 13 · 23:17
clinical Recent data from Juntendo shows liver function might be worse in the midterm follow-up for patients who had laparoscopic Kasai compared to open surgery. ↗
▶ Ep 13 · 30:34
clinical Yamataka uses a shorter Roux limb than standard because he does not like redundant Roux loops. ↗
▶ Ep 13 · 30:34
clinical Yamataka uses a shorter Roux limb than standard because he does not like redundant Roux loops. ↗

Biliary Atresia Part II

▶ Ep 14 · 11:15
clinical Tokyo protocol: start prednisone 4mg/kg/day after CRP normalizes post-op, taper over 15 days (4→3→2→1→0.5mg/kg, 3 days each), return to higher dose if stool becomes acholic ↗
▶ Ep 14 · 11:15
clinical Tokyo protocol: start prednisone 4mg/kg/day after CRP normalizes post-op, taper over 15 days (4→3→2→1→0.5mg/kg, 3 days each), return to higher dose if stool becomes acholic ↗
▶ Ep 14 · 18:10
opinion START trial started steroids on post-op day 1, whereas Tokyo and King's protocols wait 4-7 days until CRP normalizes—this timing difference may affect safety profile ↗
▶ Ep 14 · 18:10
quote I think immediately after operation, starting a steroid is, I think, a bit dangerous. ↗
▶ Ep 14 · 18:10
quote I think immediately after operation, starting a steroid is, I think, a bit dangerous. ↗
▶ Ep 14 · 18:10
opinion START trial started steroids on post-op day 1, whereas Tokyo and King's protocols wait 4-7 days until CRP normalizes—this timing difference may affect safety profile ↗
▶ Ep 14 · 19:05
clinical Early post-operative cholangitis is a bad prognostic sign for long-term native liver survival ↗
▶ Ep 14 · 19:05
clinical Early post-operative cholangitis is a bad prognostic sign for long-term native liver survival ↗
▶ Ep 14 · 19:05
quote Once patients have early cholangitis, I think that is a bad sign for long-term native liver survival. ↗
▶ Ep 14 · 19:05
quote Once patients have early cholangitis, I think that is a bad sign for long-term native liver survival. ↗
▶ Ep 14 · 23:09
clinical For cystic biliary atresia with visible intrahepatic ducts on cholangiogram, prognosis is better even in late presenters ↗
▶ Ep 14 · 23:09
clinical Tokyo approach to late presenters: decision based on timing of acholic stool onset, not chronological age—if acholic from birth, consider primary transplant; if yellow stool for first month of life, proceed to Kasai even at 100 days ↗
▶ Ep 14 · 23:09
clinical For cystic biliary atresia with visible intrahepatic ducts on cholangiogram, prognosis is better even in late presenters ↗
▶ Ep 14 · 23:09
clinical Tokyo approach to late presenters: decision based on timing of acholic stool onset, not chronological age—if acholic from birth, consider primary transplant; if yellow stool for first month of life, proceed to Kasai even at 100 days ↗
▶ Ep 14 · 26:19
quote I think the most important thing is, I think the duration of the creamy stool is strongly related to the outcome in my department. ↗
▶ Ep 14 · 26:19
clinical Tokyo data shows age at Kasai is not significantly related to outcome; duration of acholic stool (disease duration) is the most important prognostic factor ↗
▶ Ep 14 · 26:19
quote I think the most important thing is, I think the duration of the creamy stool is strongly related to the outcome in my department. ↗
▶ Ep 14 · 26:19
clinical Tokyo data shows age at Kasai is not significantly related to outcome; duration of acholic stool (disease duration) is the most important prognostic factor ↗
▶ Ep 14 · 28:51
clinical Tokyo cholangitis protocol: intensive IV antibiotics until CRP and white count normalize, then steroids; revision Kasai not performed due to poor outcomes ↗
▶ Ep 14 · 28:51
clinical Tokyo cholangitis protocol: intensive IV antibiotics until CRP and white count normalize, then steroids; revision Kasai not performed due to poor outcomes ↗