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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Taking Prophylactic Antibiotic Cefepime And Udiliv Safe For Congenital Choledochal Cyst?

I have got 4mnths old baby girl who had congenital choledochal cyst for which she has been operated at the age of 34days following which she had 2 episodes of cholangitis. her doctoe suggested prophylactic antibiotic cefepime and Udiliv for a long time. her LFT is deranged and her liver is enlarged and firm. Could you please tell me how long we should give udiliv and antibiotic and wheather it is correct treatment or not. Thank you Dr.payel mukherjee
Fri, 26 Jun 2015
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Gastroenterologist, Surgical,  's  Response
generally choledochal cysts treated by surgery implies cure of the same. when bile duct is connected to the bowel by surgery and it is draining well, there is no need for udiliv or prophylactic antibiotic. however when there is narrowing at the connected site, there can be fever and poor drainage which necessitates antibiotic and udiliv. I would advice you to be on regular follow up with your treating doctor to know when to stop these medications.
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Is Taking Prophylactic Antibiotic Cefepime And Udiliv Safe For Congenital Choledochal Cyst?

generally choledochal cysts treated by surgery implies cure of the same. when bile duct is connected to the bowel by surgery and it is draining well, there is no need for udiliv or prophylactic antibiotic. however when there is narrowing at the connected site, there can be fever and poor drainage which necessitates antibiotic and udiliv. I would advice you to be on regular follow up with your treating doctor to know when to stop these medications.