Kasai procedure

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The Kasai procedure (Kasai hepatoportoenterostomy) is a surgical procedure used to treat biliary atresia. In essence, it is a Roux-en-Y procedure with the biliopancreatic limb anastomosed to the porta hepatitis where the fibrosed bile ducts have been transected, hence the name Kasai portoenterostomy. Best long term outcome after a Kasai procedure is associated with a >20 % decrease in serum total bilirubin at 7th day post-Kasai[1] and the prevention of portal hypertension[2].


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