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040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.11.28.M.Sc.2018.Em.C
100 0 _aEman Mahmoud Metwally Mahmoud
245 1 0 _aComparison of serum 25(OH)Vitamin D before and after nutritional counseling in infants with biliary atresia after Kasai portoenterostomy /
_cEman Mahmoud Metwally Mahmoud ; Supervised Sawsan Hassan Okasha , Nihal Mohamed Alkoofy , Fatma Ahmed Fathi Elmougi
246 1 5 _aمقارنة مستوى فيتامين د في الاطفال الرضع مرضى انسداد القنوات المرارية بعد الاصلاح الجراحي قبل و بعد اتباع النظام الغذائي
260 _aCairo :
_bEman Mahmoud Metwally Mahmoud ,
_c2018
300 _a139 P. :
_bcharts, facsimiles ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520 _a Back ground: Malnutrition is a very common problem in infants with biliary atresia. Proper nutritional assessment and management will affect the outcome of the disease pre and post liver transplantation. Vitamin D deficiency is common in biliary atresia, being one of the fat soluble vitamins. Proper supplementation and use of medium chain triglycerides will affect vitamin D serum level. Objectives: Identify the prevalence and severity of nutritional deficiency in patients with biliary atresia. Comparing Serum level of 25(OH) vitamin D in patients with biliary atresia after Kasai porto-enterostomy, after nutritional intervention. Assessment of the effectiveness of nutritional counseling on the outcome of Kasai operation. Methods: This study was carried out at the Pediatric Hepatology Unit, Cairo University Specialized Pediatric Hospital. The study included 36 infants with biliary atresia who underwent Kasai porto-enterostomy. Nutritional counseling using illustrative flyers and Proper physical examination was done including anthropometric measures.Results:50% of cases has clinical signs of vitamin D deficiency, while 77.8% of cases had low serum level of vitamin D. Conclusion: proper nutritional counseling can help to improve serum level of 25(OH) vitamin D using MCTs containing formula and dose 4000 IU cholecalcifirol
530 _aIssued also as CD
653 4 _aBiliary atresia
653 4 _aNutritional assessment
653 4 _aVitamin D
700 0 _aFatma Ahmed Fathi Elmougi ,
_eSupervisor
700 0 _aNihal Mohamed Alkoofy ,
_eSupervisor
700 0 _aSawsan Hassan Okasha ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c69381
_d69381