PURPOSE: Traditional Kasai portoenterostomy and porto-appendiceal duodenostomy have been utilized for @entity2876 . Differences in outcome between @entity1 who underwent either Kasai portoenterostomy or porto-appendiceal duodenostomy were compared. METHODS: A review of all @entity1 who underwent a drainage procedure for @entity2876 from 1986 to 2000 (n = 30) was performed. Age at drainage procedure, subsequent liver transplantation, and outcomes were evaluated. Outcome variables included success rates (total @entity648 < 2.0 mg/dL) and survival rate. Statistical analysis was done with chi2 and Student's t test. RESULTS: Long-term follow-up was available on 28 of 30 @entity1 . Age at biliary drainage was insignificant. Success rates between porto-appendiceal duodenostomy (31%) and Kasai portoenterostomy (82%) were statistically significant. Survival rate for @entity1 who underwent a Kasai portoenterostomy was 10 of 11 @entity1 . Survival rate for @entity1 who underwent porto-appendiceal duodenostomy was 14 of 16 @entity1 . Overall survival rate was comparable between porto-appendiceal duodenostomy (88%) and Kasai portoenterostomy (91%). CONCLUSIONS: Although overall survival rate was comparable, @entity1 who underwent porto-appendiceal duodenostomy were less successful in alleviating @entity3638 compared with Kasai portoenterostomy. This is shown further by the greater incidence of subsequent liver transplantation in @entity1 with prior porto-appendiceal duodenostomy. Although the appendix may serve as an alternative biliary conduit, traditional Kasai portoenterostomy appears to achieve better biliary drainage.

Comparison of drainage techniques for XXXX .

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'infants'] @entity648 :: ('MESH:D001663', 'Chemical') :: ['bilirubin'] @entity3638 :: ('MESH:D006932', 'Disease') :: ['hyperbilirubinemia'] @entity2876 :: ('MESH:D001656', 'Disease') :: ['biliary atresia']
@entity2876 :: (MESH:D001656,Disease) :: ['biliary atresia']
