Association between Kasai portoenterostomy at low caseload centres and transplant complications in children with biliary atresia

Space: StayCurrentMD Author: Pietro Betalli, Maurizio Cheli, Mara Marcella Colusso, Valeria Casotti, Daniele Alberti, Alberto Ferrari, Giusy Starita, Alessandro Lucianetti, Domenico Pinelli, Michele Colledan, Lorenzo D'Antiga Published:

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Pietro Betalli, Maurizio Cheli, Mara Marcella Colusso, Valeria Casotti, Daniele Alberti, Alberto Ferrari, Giusy Starita, Alessandro Lucianetti, Domenico Pinelli, Michele Colledan, Lorenzo D'Antiga

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Abstract

Background: Kasai portoenterostomy (KPE) is the preferred treatment for biliary atresia (BA) patients. It has been shown that the centre caseload of KPE impacts on native liver survival. We aimed to define the impact of KPE caseload on complications at the time of liver transplantation (LT).

Methods: Retrospective data collection of LT for BA performed in our tertiary centre between 2010-2018. The patients were grouped according to the caseload of the centre that performed KPE: Group A (≥5 KPE/year) and Group B (

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