[Surgical treatment of the patient with atresia of the bile ducts]. / Tratamiento quirúrgico del paciente con atresia de las vías biliares.

Fifty-five cases with bile duct atresia subjected to 56 different bilioenteric diversions seen at the National Pediatric Institute during the last 16 years are studied. The best results were obtained with those patients operated on during the first two months of life and when external bilioenteric diversions were used. The most frequent complication seen in any type of diversion is cholangitis. The main cause of death was due to liver failure based on a parenchymal disease. Depending on how each patient evolved, a classification system was established.