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Common pediatric surgery problems.pdf

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Kasai Portoenterostomy<br />

Roux-en-Y limb of jejenum sutured to porta where<br />

atretic bile ducts exit hepatic parenchyma<br />

Results depend on age (10 weeks), anatomy and<br />

histology of atretic bile ducts, ? degree of cirrhosis<br />

overall:<br />

1/3 fail immediately<br />

Long term survival in 25% of those that have drainage<br />

Results of liver transplantation not affected by Kasai<br />

procedure

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