Management of neonates with Neonatal Chronic Obstructive Cholangiopathy. Kasai surgery

Abstract

Introduction: Kasai surgery is a relevant clinical treatment to eliminate bile duct defects outside the liver. Objective: identify the management of neonatal patients with chronic obstructive cholangiopathy undergoing Kasai surgery and describe the care, approach, treatment and management of patients framed in line 4 of epidemiological research of the Faculty of Health Sciences of University. Methods: the study was conducted according to the PRISMA guidelines for systematic reviews. The methodology is descriptive and qualitative. Results: the treatment proves to be effective, close care of postoperative complications has a positive effect to improve the surgical effect and delay the progression of the disease, to this is added the low importance of the psychological state of the caregiver, which can lead to a poor communication and coordination, thus affecting the treatment and rehabilitation of newborns. Conclusion: chronic obstructive cholangiopathy mainly requires care focused on the needs of the newborn, better adherence to medication, nutrition and postoperative complications. Research on the specific care to be implemented in this pathology is not established, there are few studies related to the subject. Therefore, health personnel should emphasize the investigation of this pathology to improve the level of care, focusing on the creation of clinical guidelines that support the processes applied in neonates