Digestive and Gastrointestinal Conditions
Biliary Atresia Treatment
Biliary Atresia Treatment Options
Babies with biliary atresia need surgery to remove any blockage in the bile ducts outside the liver and create a way for bile to drain straight from their liver into their intestines. The surgery is called a Kasai procedure (portoenterostomy).
During a Kasai procedure, the surgeon removes the scarred, abnormal bile ducts outside of the baby's liver. Then the surgeon creates an extension of the small intestine, called a roux-en-Y, that can reach up to the liver. The surgeon connects this extension to the liver at the place where the bile ducts come out of the liver.
The Kasai procedure tends to be more successful the earlier it's done. Usually the goal is to complete the surgery in the first two months after birth. The surgery may also be helpful for older babies, if they don't already have advanced
Some children will recover with good liver function and bile flow after a Kasai procedure. Some will do well for a while, even a few years, and then their liver damage will get worse and their liver will fail. Then they will need a
For some children, a Kasai procedure will not help because their liver has too much damage. These children will need a liver transplant so they have a chance to survive.
Seattle Children's has the only
pediatric liver transplant program
in the Pacific Northwest. We have been performing liver transplant surgery since 1990. Read more about our
Liver and Intestine Transplant Clinic
You can read about
what to expect
when your child
visits a clinic
here or needs to
stay in the hospital
. You can get practical details about topics like what to do and bring
the day of surgery
and who will be on
your child's care team