NEONATAL BILIARY ATRESIA

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Abstract

. Bilrary atresia continues to emanate controversy & despair among Physicians & 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 & 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 & 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.