Prognostic factors and outcomes of Kasai portoenterostomy (KPE): nine-year experience from a lower-middle income country

This 9-year study from a lower-middle income country demonstrates that early Kasai portoenterostomy significantly improves native liver survival in biliary atresia patients, with outcomes comparable to developed nations despite limited transplant access. The findings emphasize the critical importance of early surgical intervention in resource-constrained settings where patient survival depends primarily on native liver longevity rather than transplantation availability.