July 23, 2019
The ducts of the liver are helpful when the liver produces bile which must drain into the intestine and aid food digestion. In a situation where these ducts are blocked, the Kasai procedure is used to bypass them surgically and prevent any further liver damage. This treatment for biliary atresia in India is revolutionary and one-of-a-kind and produces excellent results.
The Kasai Procedure
To conduct this procedure, surgeons must remove the damaged ducts outside the liver. The ducts are replaced by using a small part of the patient’s intestine where bile should drain. This part not only joins up to the liver but also to the major part of the intestine. The Kasai procedure forms a Y-shaped path from where bile flows from the liver and into the intestine.
After this procedure, the patient must remain in the hospital for about a week or 10 days. The procedure conducted will heal during this period and doctors will medicate the child so that there’s no excessive build-up of fluid.
Read also: India’s Youngest Successful Liver Transplantation On A One-Month-Old Baby, Performed At Dr Rela Hospital
Results of this Kasai Procedure
Both bile flow and liver function will be restored to normalcy in at least 1/3 of children undergoing this procedure. They may not need liver transplantation unlike the 2/3 who undergo the kasai procedure and do not have sufficient bile flow and liver function. Half this group will need to have liver transplantation after the Kasai procedure while the other half will need to have it at some later date.
Post-Operative Recovery of Kasai Procedure
The child will be taken to the recovery area after the Kasai procedure. Rom here, the child will be taken to the paediatric floor and will remain there for a few days. Once the child demonstrates that he has been eating well, is pain-free and does not have a fever, he will be sent home.
Does the Child Need to Be Shown to The Surgeon After the Kasai Procedure?
About a couple of weeks after the child goes home, a nurse from the hospital will call to enquire after his health. The child will need to be met by the gastroenterologist and surgeon soon.
Why Rela Hospital
Liver diseases of all kinds are performed at the Dr. Rela Hospital the multispeciality hospital in Chennai. This includes the Kasai Procedure, complex though it might seem. If this means that the patient is an innocent child, we take as much care and consideration as is required to treat the patient quickly, efficiently and accurately so that he is back on his feet again.
Our hospital is proud to announce that apart from all the disciplines it houses and focuses on liver diseases, yet our founding father is also endowed with the knowledge and knowhow of being one of the few Kasai procedure doctors in India.
Our teams of doctors and specialists in liver disease are also well-versed with this procedure and perform it with aplomb and ease. Besides, we are known as a prominent Paediatric liver surgery hospital in India that has all the technology, techniques and manpower to facilitate such surgeries.
Each well-known paediatric liver specialist in Chennai works at the Dr Rela Hospital and is committed to giving of his best at all times.
Want to know more about us? Call us on +91 9384681770 for an appointment.
When is the Kasai procedure done?
The Kasai procedure is done at an early age (younger than three months), about 80 percent of patients have some bile flow. In nearly 30 percent of those infants, enough bile is able to drain from the liver that bilirubin levels return to normal.
Does the Kasai procedure cure biliary atresia?
The Kasai procedure is usually the first treatment for biliary atresia. The Kasai procedure does not cure biliary atresia. However, if the procedure is successful, it may slow liver damage and delay or prevent complications and the need for a liver transplant.
How successful is the Kasai procedure?
The initial success rate of Kasai procedure (for achieving bile flow) is 60-80%. Clearly, the most critical determinant of outcome remains age at the time of operation.