Patient's question:
A friend has been feeling unwell for a while and was just diagnosed with biliary atresia. After undergoing the Kasai procedure, she is now recovering quite well and is ready to be discharged. Could you please advise on how to care for her after the Kasai surgery before discharge?Doctor's answer:
Congenital biliary atresia is a type of intrahepatic and extrahepatic biliary obstruction that can lead to biliary cirrhosis and ultimately liver failure. After Gerschy surgery, 67% of children still require liver transplantation before adulthood, making Gerschy surgery a bridging treatment before liver transplantation. Typically, the time for liver transplantation is considered significant when there is advanced cirrhosis, jaundice lasting more than 10 mg/dL, and the patient is older than 120 days post-surgery.