J Pediatr Surg 1985 Jun;20(3):252-5

A study of patients with long-term bile flow after hepatic portoenterostomy fo
biliary atresia

Suruga K, Miyano T, Arai T, Ogawa T, Sasaki K, Deguchi E

Abstract
Thirty-five cases of biliary atresia that demonstrated the creation of internal
fistula between intrahepatic bile ducts at the portahepatis and intestine and
showed long-term bile flow after our hepatic portoenterostomy were investigated
from various aspects. These 35 cases were divided into Group A cases, in which
jaundice disappeared within three months after surgery, and Group B cases, in
which persistent jaundice was seen more than three months after surgery. (1)
Severe liver fibrosis and degeneration of intrahepatic bile ducts were more
often seen in Group B cases than in Group A cases. (2) The age at the time of
surgery and the size of intrahepatic bile ducts at the portahepatis did not have
much influence on the operative results in those 35 cases. (3) Measurement of
the amount of bile flow and bile acid excretion obtained from Suruga II
enterostomy is useful for evaluating the postoperative results of biliary
atresia patients. (4) Reoperation that includes curettage and rehepatic
portoenterostomy, and serious postoperative ascending cholangitis were each
closely related to postoperative persistent jaundice