Double-valved Hepatic Portojejunostomy for Biliary Atresia

Abstract

For the purpose of prevention of cholangitis in the surgical treatment of biliary atresia, we employed double-valved (spur-valve and intussuscepted valve) hepatic portojejunostomy for 20 patients with biliary atresia in the last 2 years. Bile flow after their corrective operation were active in 15 cases and fair in 4 cases respectively. Among these 19 cases, 6 cases (32%) developed cholangitis during their postoperative courses. No patients died of cholangitis. Although these results are not fully satisfactory, double-valved hepatic portojejunostomy, for the time being, is thought to be the choice of a modified procedure for prevention of cholangitis in the treatment of biliary atresia.