Neonatal biliary atresia

Bilrary atresia continues to emanate controversy and despair among Physicians and patients alike. With the development of liver transplant and new techniques a new insight in NBA surgical care has come forth. This condition is the most common cause of persistently direct [conjugated] hyper bilirubinemia in the first 03 month of life. Kasai portoenterostomy and liver transplantation battle to become todays leading therapy. The main focus of attention however remains that the results after portoenterostomy are decided by the promptness of the initial workup and referral to surgery. More then 80% of babies with NBA have satisfactory bile flow after hepatic portoenterostomy if the procedure is done before 8th week of life