Long-term follow-up for anicteric survival with native liver after redo Kasai: a first report

Abstract Purpose We present a first report of the long-term follow-up of biliary atresia (BA) patients who became anicteric with the native liver (ANL; total bilirubin Methods Forty-six redo-Kasai cases (1984–2015) were the subjects for this study. ANL ratios were determined using the Kaplan–Meier estimate. Results BA type was I (n=3), II (n=1), and III (n=42). Mean ages (initial/redo) at Kasai were 60.3/231.9days, respectively. Jaundice persisted after the initial Kasai in 24/46 cases while 22 had recurrence of jaundice after initially becoming anicteric. After redo, 5/24 of the persistent jaundice cases and 14/22 of the initially anicteric cases became anicteric ( p Conclusions Ours is the first long-term follow-up study of redo-Kasai cases. We found that the ANL ratio after redo-Kasai was low at 7/46 (15.2%) and that ANL were prone to multiple morbidity. Level of evidence Retrospective comparative study, level III.