The Surgery of Biliary Atresia: Current Investigations
Until the past decade surgical attempts to correct biliary atresia were uniformly unsuccessful. In 1968 a new operation was introduced by Dr. Morio Kasai (1) in which the extrahepatic bile ducts were radically excised and replaced by an intestinal conduit. Dr. Kasai reported success in almost a quarter of his cases. The early American experience with the operation was dismal; the initial reporting institution described not only outright failure in every patient but a suspected shortened life expectancy (2). Because of the widely disparate results, an investigation of Kasai’s operation was instituted under the auspices of the Children’s Clinical Research Center in Denver beginning in 1974.
KeywordsBile Duct Biliary Drainage Esophageal Varix Biliary Atresia Extrahepatic Bile Duct
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