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To better define the long-term management of biliary atresia patients, the National Center for Child Health and Development in Tokyo reported on the 44 of their 165 biliary atresia patients who underwent a Kasai operation and were followed for more than 15 years, the longest being 34 years postoperative. Biochemical studies, ultrasound, CT scans, liver scintigraphy, endoscopic evaluation of varices, and a patient questionnaire on social, developmental, and sexual history were reviewed. The 28 female patients provided additional information regarding menstrual history, pregnancy, delivery, and status of their newborns. Eighteen percent of the patients (8/44) had undergone liver transplant after puberty with 5% (2/44) awaiting transplantation. …
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