Reflux of bacteria-laden intestinal contents into the biliary tree can be prevented by an intussuscepted valve in an isolated segment of jejunum interposed between the porta hepatis and the duodenum. This method of bile duct reconstruction was adopted in 1979 and since then has been used in 17 @entity1 with @entity2876 and 9 with choledochal duct cysts. Those with choledochal duct cysts are well. Follow-up HIDA scans demonstrate normal bile flow, and ultrasound examinations have not revealed dilated bile ducts. Bile flow was established in 13 @entity1 with @entity2876 and was persistent in 8. Two expired because of unrelated problems between 2 to 6 months postoperatively. One of these @entity1 developed @entity255 , but at autopsy the nipple valve was incompetent. Six @entity1 currently have normal serum @entity648 levels and are clinically well. The average postoperative stay for these @entity1 was 7.5 days. Three were rehospitalized for brief periods for suspected @entity255 which was not proven. Bile flow was never established in 4 babies and was present only briefly in 5. Five of these @entity1 died of progressive @entity1578 and one from unrelated causes. Two have had liver transplants, and a third is awaiting transplantation.

The valved conduit prevents ascending XXXX : a follow-up.

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'infants'] @entity648 :: ('MESH:D001663', 'Chemical') :: ['bilirubin'] @entity1578 :: ('MESH:D017093', 'Disease') :: ['liver failure'] @entity2876 :: ('MESH:D001656', 'Disease') :: ['biliary atresia'] @entity255 :: ('MESH:D002761', 'Disease') :: ['cholangitis']
@entity255 :: (MESH:D002761,Disease) :: ['cholangitis']
