Fat-Soluble Vitamin Deficiency in Pediatric Patients with Biliary Atresia
Objective. To analyze the levels of fat-soluble vitamins (FSVs) in pediatric patients with biliary atresia (BA) before and after the Kasai procedure. Methods. Pediatric patients with obstructive jaundice were enrolled in this study. The FSV levels and liver function before, 2 weeks after, and 1, 3,...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2017/7496860 |
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| author | Rui Dong Song Sun Xiao-Zhou Liu Zhen Shen Gong Chen Shan Zheng |
| author_facet | Rui Dong Song Sun Xiao-Zhou Liu Zhen Shen Gong Chen Shan Zheng |
| author_sort | Rui Dong |
| collection | DOAJ |
| description | Objective. To analyze the levels of fat-soluble vitamins (FSVs) in pediatric patients with biliary atresia (BA) before and after the Kasai procedure. Methods. Pediatric patients with obstructive jaundice were enrolled in this study. The FSV levels and liver function before, 2 weeks after, and 1, 3, and 6 months after the Kasai procedure were measured. Results. FSV deficiency was more obvious in patients with BA than in patients with other cholestatic liver diseases, especially vitamin D deficiency. 25-Hydroxy vitamin D (25-(OH)D) deficiency was more pronounced in younger patients before surgery. The 25-(OH)D level was significantly higher in patients with than without resolution of jaundice 3 months after surgery. At 6 months after surgery, the 25-(OH)D level was abnormally high at 8.76 ng/ml in patients with unresolved jaundice. Conclusions. Preoperative FSV deficiency, particularly vitamin D deficiency, is common in patients with BA. 25-(OH)D deficiency is more pronounced in younger children before surgery. Postoperative FSV deficiency was still prevalent as shown by the lower 25-(OH)D levels in patients with BA and unresolved jaundice. This required long-term vitamin AD supplementation for pediatric patients with BA and unresolved jaundice after surgery. |
| format | Article |
| id | doaj-art-6590f38b1952484fa01e288e7319c8e1 |
| institution | OA Journals |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
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| series | Gastroenterology Research and Practice |
| spelling | doaj-art-6590f38b1952484fa01e288e7319c8e12025-08-20T02:23:48ZengWileyGastroenterology Research and Practice1687-61211687-630X2017-01-01201710.1155/2017/74968607496860Fat-Soluble Vitamin Deficiency in Pediatric Patients with Biliary AtresiaRui Dong0Song Sun1Xiao-Zhou Liu2Zhen Shen3Gong Chen4Shan Zheng5Department of Pediatric Hepatobiliary Surgery, Children’s Hospital of Fudan University and Key Laboratory of Neonatal Disease, Ministry of Health, 399 Wan Yuan Road, Shanghai 201102, ChinaDepartment of Pediatric Hepatobiliary Surgery, Children’s Hospital of Fudan University and Key Laboratory of Neonatal Disease, Ministry of Health, 399 Wan Yuan Road, Shanghai 201102, ChinaDepartment of Pediatric Hepatobiliary Surgery, Children’s Hospital of Fudan University and Key Laboratory of Neonatal Disease, Ministry of Health, 399 Wan Yuan Road, Shanghai 201102, ChinaDepartment of Pediatric Hepatobiliary Surgery, Children’s Hospital of Fudan University and Key Laboratory of Neonatal Disease, Ministry of Health, 399 Wan Yuan Road, Shanghai 201102, ChinaDepartment of Pediatric Hepatobiliary Surgery, Children’s Hospital of Fudan University and Key Laboratory of Neonatal Disease, Ministry of Health, 399 Wan Yuan Road, Shanghai 201102, ChinaDepartment of Pediatric Hepatobiliary Surgery, Children’s Hospital of Fudan University and Key Laboratory of Neonatal Disease, Ministry of Health, 399 Wan Yuan Road, Shanghai 201102, ChinaObjective. To analyze the levels of fat-soluble vitamins (FSVs) in pediatric patients with biliary atresia (BA) before and after the Kasai procedure. Methods. Pediatric patients with obstructive jaundice were enrolled in this study. The FSV levels and liver function before, 2 weeks after, and 1, 3, and 6 months after the Kasai procedure were measured. Results. FSV deficiency was more obvious in patients with BA than in patients with other cholestatic liver diseases, especially vitamin D deficiency. 25-Hydroxy vitamin D (25-(OH)D) deficiency was more pronounced in younger patients before surgery. The 25-(OH)D level was significantly higher in patients with than without resolution of jaundice 3 months after surgery. At 6 months after surgery, the 25-(OH)D level was abnormally high at 8.76 ng/ml in patients with unresolved jaundice. Conclusions. Preoperative FSV deficiency, particularly vitamin D deficiency, is common in patients with BA. 25-(OH)D deficiency is more pronounced in younger children before surgery. Postoperative FSV deficiency was still prevalent as shown by the lower 25-(OH)D levels in patients with BA and unresolved jaundice. This required long-term vitamin AD supplementation for pediatric patients with BA and unresolved jaundice after surgery.http://dx.doi.org/10.1155/2017/7496860 |
| spellingShingle | Rui Dong Song Sun Xiao-Zhou Liu Zhen Shen Gong Chen Shan Zheng Fat-Soluble Vitamin Deficiency in Pediatric Patients with Biliary Atresia Gastroenterology Research and Practice |
| title | Fat-Soluble Vitamin Deficiency in Pediatric Patients with Biliary Atresia |
| title_full | Fat-Soluble Vitamin Deficiency in Pediatric Patients with Biliary Atresia |
| title_fullStr | Fat-Soluble Vitamin Deficiency in Pediatric Patients with Biliary Atresia |
| title_full_unstemmed | Fat-Soluble Vitamin Deficiency in Pediatric Patients with Biliary Atresia |
| title_short | Fat-Soluble Vitamin Deficiency in Pediatric Patients with Biliary Atresia |
| title_sort | fat soluble vitamin deficiency in pediatric patients with biliary atresia |
| url | http://dx.doi.org/10.1155/2017/7496860 |
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