Diagnosis of BAMay 5, 2014
What is Kasai ProcedureMay 7, 2014
Currently, there is no cure for Biliary Atresia. However, there are 2 common steps of treatments which are outlined below – The Kasai Procedure, and ultimately a Liver Transplant.
1. Kasai Procedure
The procedure is called hepato-portoenterostomy. If Biliary Atresia is the diagnosis, the surgeon generally goes ahead and performs an operation called the “Kasai procedure,” named after the Japanese surgeon who developed this operation. In the Kasai procedure, the bile ducts are removed and a loop of intestine is brought up to replace the bile ducts and drain the liver. As a result, bile flows from the small bile ducts straight into the intestine, bypassing the need for the larger bile ducts completely. (More about the Kasai procedure follows.)
3. Liver Transplant
If the Kasai procedure is not successful, the infant usually will need a liver transplant within the first 1 to 2 years of life. Children with the fetal form of biliary atresia are more likely to need liver transplants—and usually sooner—than infants with the typical perinatal form. The pattern of the bile ducts affected and the extent of damage can also influence how soon a child will need a liver transplant. (More about liver transplantation follows.)