TÇCD 2011 29. National Pediatric Surgery Congress and 27. National Congress of The Egyptian Pediatric Surgical Association

 

Introduction: Biliary atresia is a devastating disease due to inflammatory process that affect intrahepatic & extrahepatic bile ducts that leads to progressive liver cirrhosis and portal hypertension with their sequelae. The surgical solution needs to be carried on as early as possible by an experienced surgeon. Technical points regarding the operation itself & its modifications need to be considered while undertaking the procedure.

 

Methods:In this study twenty five patients for which double anastomosis were carried on between the liver and the ascending jejeunal loop, the procedure was guided by the site where maximal bile flow from liver after proper dissection on the porta hepatis  especially in cases of anomalies as preduodenal portal vein and early bifurcated portal vein.

 

Results:Follow up period of one year for the cases, early postoperative complications as bile blockage, burst abdomen or bile blockage or signs of hepatic failure.

 

Key words:Kasai operation – portoenterostomy – double anastomosis.