Hernia umbilical y evolución clínica de pacientes con atresia de vías biliares.

Background: Bile atresia is children’s leading cause of cirrhosis. Its high morbidity and mortality are explained by its complications, including gastrointestinal bleeding and portal hypertension. Umbilical hernia has been embryologically and clinically associated with portal hypertension and cirrhosis; however, the clinical evolution of patients with bile atresia and umbilical hernia is unknown, so the aim of the study is to describe this link. Objective: To determine the prevalence of the coexistence of AVB and HU in patients in a tertiary hospital, and describe the clinical evolution of these patients with respect to the presence/absence of HU as a strategy in the search for prognostic factors of morbidity and mortality. Material and methods: This is an observational, descriptive, retrospective, and longitudinal study that included patients with bile atresia in a tertiary pediatric hospital. The variables related to bile atresia were analyzed, and the clinical evolution was described according to the presence or absence of UH. Results: 56 patients with AVB were included, of which 69.6% were women. Portal hypertension occurred in 80.4%, with the presence of collateral venous network, STD, ascites and hepatomegaly being the indirect clinical data mostly presented. The frequency of coexistence of HU and AVB was 75%. Portal hypertension, collateral venous network, digestive tract bleeding, ascites and small esophageal varices were the variables significantly more prevalent in patients with HU. Conclusions: Patients with bile atresia have a greater possibility of developing umbilical hernia and that it is associated with a more advanced evolution of portal hypertension and its associated signs and complications. [ABSTRACT FROM AUTHOR]