Does the identity of the bacteria matter in post-Kasai cholangitis? A comparison between simple and intractable cholangitis

Retrospective study of 192 post-Kasai patients comparing simple versus intractable cholangitis episodes. Intractable cholangitis occurs more frequently in the first postoperative year with different bacterial profiles; positive blood cultures in intractable cases correlate with significantly improved native liver survival (100% vs 20%), emphasizing the importance of microbiological diagnosis.