Does the Treatment After Kasai Procedure Influence Biliary Atresia Outcome and Native Liver Survival?

Retrospective study of 43 infants with biliary atresia found no significant difference in outcomes between those receiving adjuvant therapy (antibiotics and steroids) after Kasai portoenterostomy versus no treatment. Cholangitis rates, bilirubin normalization, and transplant-free survival at 24 months were similar between groups, highlighting the need for randomized trials to clarify post-Kasai treatment protocols.