ArticleThe Journal of international medical research2021
Outcomes of late Kasai portoenterostomy in biliary atresia: a single-center experience.
Article in The Journal of international medical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Successful surgical intervention and management of biliary atresia in a 4-month-old infant: a case report.International journal of surgery case reports · 2026Article
- Lack of association between cytomegalovirus infection and liver fibrosis in patients with biliary atresia after the Kasai procedure.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026Article
- Late Referral of Biliary Atresia and Poor Clinical Outcomes.The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2025Observational
- Varied Characteristics of Recovered Patients with Biliary Atresia.The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2025Observational
- Primary antibiotic prophylaxis in biliary atresia did not demonstrate decreased infection rate: Multi-centre retrospective study.Acta paediatrica (Oslo, Norway : 1992) · 2025Article
- Alterations of gut microbiota in infants with biliary atresia identified by 16S rRNA-sequencing.BMC pediatrics · 2024Article
- Relationship between hepatic function recovery and postoperative cholangitis in neonates undergoing hepaticojejunostomy for biliary atresia.American journal of translational research · 2024Article
- Clinical Characteristics and Outcome of Infants with Biliary Atresia in Bahrain.Oman medical journal · 2023Article
- Early bile drainage improves native liver survival in biliary atresia without cholangitis.Frontiers in pediatrics · 2023Article
- The outcome of Kasai portoenterostomy after day 70 of life.Frontiers in pediatrics · 2022Article
- The Epidemiology and Outcome of Biliary Atresia: Saudi Arabian National Study (2000-2018).Frontiers in pediatrics · 2022Article
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Authors and funding
3 authors.
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Abstract
objectivesTo describe the clinical, histopathologic, and outcomes data for a cohort of patients with biliary atresia (BA), and to identify the factors affecting survival.
methodsThis was a cross-sectional study of all BA patients diagnosed between 1999 and 2017. Clinical, biochemical, imaging, and histopathologic data were analyzed, and Kaplan-Meier survival rates were compared to identify potential prognostic factors.
resultsWe evaluated 23 patients. The median age at the Kasai procedure was 77 ± 34 days, and the median overall survival was 12.5 ± 65 months. Thirteen (56%) patients survived with their native livers, 3 (13%) received a transplant, and 6 died (26%) while awaiting a transplant. Cholangitis and the use of ursodeoxycholic acid were associated with longer survival, while impaired synthetic function was associated with shorter survival.
conclusionsMost patients presented late for the Kasai procedure. The survival rate with the native liver was comparable to other cohorts. Therefore, clinicians are encouraged to refer for the Kasai procedure even with late presentation (between 60 and 90 days), provided there is no hepatic decompensation.
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