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Treatment

Kasai Procedure

Surgical Procedure

The Kasai procedure, also called hepatoportoenterostomy, is a surgical treatment performed on infants with biliary atresia or certain choledochal cysts to restore the flow of bile out of the liver. The surgeon removes the diseased bile duct tissue down to the liver capsule at the porta hepatis and attaches a loop of the infant's own small intestine there, so that any remaining small bile ducts in the scarred tissue can drain into the new intestinal outlet. The operation does not cure the underlying disease and does not always succeed, but for some infants it restores enough bile flow to delay or avoid the need for a liver transplant.

Facts
Classification
Status
Standard of Care 1
Origin Year
1951 2
Kasai Procedure
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FAQs

How soon do doctors know whether the Kasai procedure has worked?

Within about 3 months of the operation it is clear whether bile flow was restored.

The National Institute of Diabetes and Digestive and Kidney Diseases states that within 3 months of the procedure, one has an idea of whether the surgery has worked. After a successful operation, most infants no longer have jaundice and have a reduced risk of developing complications of advancing liver disease. The same source stresses that the procedure does not cure biliary atresia, so a successful result describes restored bile flow and not an end to the underlying disease.
Connections

Treats

Source Hepatoportoenterostomy - Wikipedia
Sources
1. Wikipedia
Wikipedia contributors, Wikimedia Foundation
2. Hepatoportoenterostomy - Wikipedia
  • Article text
    This procedure was developed in 1951 by Japanese biliary and hepatic pediatric surgeon Morio Kasai (1922-2008).
  • https://en.wikipedia.org/wiki/Hepatoportoenterostomy, lead section
    A hepatoportoenterostomy or Kasai portoenterostomy is a surgical treatment performed on infants with Type IVb choledochal cyst and biliary atresia to allow for bile drainage.
  • Treats: Biliary Atresia, Lead: treats Biliary Atresia
    A hepatoportoenterostomy or Kasai portoenterostomy is a surgical treatment performed on infants with Type IVb choledochal cyst and biliary atresia to allow for bile drainage.
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