Billiary atresia Three cases after kasai portoenterostomy

ABSTRACT Biliary Atresia (BA) occurs in about 1:15.000 live birth. The diagnosis is confirmed by Cholangiography. Kasai Portoenterostomy (KPE) is one of the managements and age at surgery is the important factors for the success. This case report described the clinical presentation and management of BA. Three cases of BA were reported during 2016. They were two cases of two months old and four months old. All came with persisted jaundice skin > 14 days of life. The laboratory showed elevated direct bilirubin serum. Three of them underwent cholangiography and KPE. After surgery, one suffered from repeated Cholangitis, one repeated abdominal leakage, and other without complication. All of these three cases were survived until this case report was made. The diagnosis of BA should be considered for any infant who came with jaundice skin which persist after 14 days of life. Age at KPE is an important determinant of jaundice clearance.