الفهرس 
Comparison of growth velocity before and after nutritional counseling in infants with biliary atresia after kasai porto-enterostomy
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Abstract
Introduction: Biliary atresia negatively affects nutritional status, growth and development. Nutritional assessment should be part of the standard of care from the time of BA diagnosis through the post-transplant period. MCTs supplementation is required to maintain growth. Objectives: The aim of the study is to determine the effect of nutritional counseling on the growth velocity in infants with biliary atresia after Kasai portoenterostomy. Methods:36 infants with biliary atresia who underwent Kasai portoenterostomy were subjected to history taking, clinical examination, anthropometric measurements, nutritional counseling using illustrative flyer, laboratory assessment, measurement of growth velocity and nutritional supplementation with MCT{u2019}s containing formulas. Follow up of these measures was carried out after months3. Results:50% of patients had length for age Z-score {u2264} - (stunted) 30% and had weight for length Z-score {u2264} - (wasted). Age at Kasai operation was significantly correlated to the degree of malnutrition. Significant improvement of anthropometric measurements was detected. Conclusion: TSF and MAC should be included in the initial assessment of patients with BA. Height velocity should be assessed over at least months6 . MCTs should be included in the nutritional plan of BA