Eleven infants with biliary atresia during a two and half year period from May, 1985 through Octover, 1987 were treated with the following strategies; (1) hepatic mobilization, (2)anti-reflux valve in the Roux-Y loop , (3) aggressive antibiotics & choleretics, and (4)prompt reoperation. Hepatic mobilization was associated with no complications, and anti-reflux valve (Nakajo's method) was established in the Roux-Y loop, usually at the time of closure of Sawaguchi's fistula. All patients became free of jaundice, and are doing very well from 56 months to 28 months (average 43 months) with only one death due to septicemia. Details of our techniques are presented and discussed.
