Abstract
The long-term results of surgical treatment of biliary atresia are presented from a series of 111 “noncorrectable” cases treated by the Kasai procedure. Thirty-four patients displayed some degree of restoration of bile flow for at least 1 year after surgery. Almost all of them still have some manifestations of cholestasis, abnormal intrahepatic bile ducts, persistent hepatic fibrosis, or portal hypertension. Despite this continuous liver dysfunction, many of these patients are able to carry on an almost normal life.
Résumé
Nous présentons, par une série de 111 cas d'atrésie biliaire dite “non corrigible”, les résultats à longue échéance de l'opération de Kasai. L'écoulement de bile a été rétabli pendant au moins un an, de façon plus ou moins satisfaisante, chez 34 malades. Presque tous ont encore des signes de cholostase, des canaux biliaires intrahépatiques à morphologie anormale, une fibrose hépatique persistante ou de l'hypertension portale. Malgré ces altérations hépatiques, de nombreux malades sont capables de mener une vie normale.
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References
Kasai, M., Suzuki, S.: [A new operation for “noncorrectable” biliary atresia: hepatic portoenterostomy]. Shujutsu13:733, 1959
Miyata, M., Satani, M., Ueda, T., Okamoto, E.: Long-term results of hepatic portoenterostomy for biliary atresia: special reference to postoperative portal hypertension. Surgery76:234, 1974
Kasai, M., Watanabe, I., Ohi, R.: Follow-up studies of long-term survivors after hepatic portoenterostomy for “noncorrectable” biliary atresia. J. Pediatr. Surg.10:173, 1975
Odièvre, M., Valayer, J., Razemon-Pinta, M., Habib, E.C., Alagille, D.: Hepatic portoenterostomy or cholecystostomy in the treatment of extrahepatic biliary atresia. J. Pediatr.88:774, 1976
Kobayashi, A., Utsunomiya, T., Kawai, S., Ohbe, Y.: Congenital biliary atresia: analysis of 97 cases with reference to prognosis after hepatic portoenterostomy. Am. J. Dis. Child.130:830, 1976
Lilly, J.R.: Surgical jaundice in infancy. Ann. Surg.186:549, 1977
Altman, R.P., Chandra, R., Lilly, J.R.: Ongoing cirrhosis after successful porticoenterostomy in infants with biliary atresia. J. Pediatr. Surg.10:685, 1975
Lilly, J.R., Altman, R.P.: Hepatic portoenterostomy (the Kasai operation) for biliary atresia. Surgery78:76, 1975
Okuda, K., Sumikoshi, T., Kanda, Y., Fukuyama, Y., Koen, H., Musha, H., Suzuk, K., Nakashima, Y., Tsuchlya, Y., Kotoda, K.: Hepatic lymphatics as opacified by percutaneous intrahepatic injection of contrast medium. Radiology119:321, 1976
Huseby, T.: Discussion of “Ongoing cirrhosis after successful porticoenterostomy in infants with biliary atresia,” Altman, R.P., Chandra, R., Lilly, J.R. J. Pediatr. Surg.10:685, 1975
Bismuth, H., Franco, D.: Management of portal hypertension in young children by portal systemic shunts. In Liver Diseases in Infancy and Childhood, S.R. Berenberg, editor. The Hague, Martinus Nijhoff Medical Division, 1976, pp. 223–230
Altman, R.P.: Portal decompression by interposition mesocaval shunt in patients with biliary atresia. J. Pediatr. Surg.11:809, 1976
Lilly, J.R., Starzl, T.E.: Liver transplantation in children with biliary atresia and vascular anomalies. J. Pediatr. Surg.9:707, 1974
Boles, T.: Discussion of “Portal decompression by interposition mesocaval shunt in patients with biliary atresia,” Altman, R.P. J. Pediatr. Surg.11:809, 1976
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Odièvre, M. Long-term results of surgical treatment of biliary atresia. World J. Surg. 2, 589–593 (1978). https://doi.org/10.1007/BF01556053
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DOI: https://doi.org/10.1007/BF01556053