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.
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.
quoteWhen 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
quoteWhen 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
clinicalInfants 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
clinicalInfants 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
clinicalLiver exteriorization with a small incision can cause kinking of hepatic veins.↗
▶Ep 13 · 21:41
clinicalLiver exteriorization with a small incision can cause kinking of hepatic veins.↗
▶Ep 13 · 23:17
clinicalRecent 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
clinicalRecent 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
clinicalYamataka uses a shorter Roux limb than standard because he does not like redundant Roux loops.↗
▶Ep 13 · 30:34
clinicalYamataka uses a shorter Roux limb than standard because he does not like redundant Roux loops.↗
Biliary Atresia Part II
▶Ep 14 · 11:15
clinicalTokyo 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
clinicalTokyo 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
quoteI think immediately after operation, starting a steroid is, I think, a bit dangerous.↗
▶Ep 14 · 18:10
opinionSTART 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
opinionSTART 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
quoteI think immediately after operation, starting a steroid is, I think, a bit dangerous.↗
▶Ep 14 · 19:05
clinicalEarly post-operative cholangitis is a bad prognostic sign for long-term native liver survival↗
▶Ep 14 · 19:05
clinicalEarly post-operative cholangitis is a bad prognostic sign for long-term native liver survival↗
▶Ep 14 · 19:05
quoteOnce patients have early cholangitis, I think that is a bad sign for long-term native liver survival.↗
▶Ep 14 · 19:05
quoteOnce patients have early cholangitis, I think that is a bad sign for long-term native liver survival.↗
▶Ep 14 · 23:09
clinicalTokyo 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
clinicalTokyo 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
clinicalFor cystic biliary atresia with visible intrahepatic ducts on cholangiogram, prognosis is better even in late presenters↗
▶Ep 14 · 23:09
clinicalFor cystic biliary atresia with visible intrahepatic ducts on cholangiogram, prognosis is better even in late presenters↗
▶Ep 14 · 26:19
quoteI 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
clinicalTokyo 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
quoteI 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
clinicalTokyo 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
clinicalTokyo 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
clinicalTokyo cholangitis protocol: intensive IV antibiotics until CRP and white count normalize, then steroids; revision Kasai not performed due to poor outcomes↗
