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Understanding Biliary Atresia

Biliary atresia is a life-threatening liver disease in infants where the bile ducts inside or outside the liver become inflamed and blocked. This prevents bile (a digestive fluid) from draining into the gallbladder and small intestine, causing bile to back up and damage liver cells, leading to cirrhosis and liver failure.

Causes of Biliary Atresia

The exact cause of biliary atresia is still under investigation, but research points to several potential triggers:

  • Viral/Bacterial Infections: Postnatal infections that trigger an abnormal inflammatory response.
  • Immune System Problems: An autoimmune attack on the bile ducts after birth.
  • Genetic Mutations: Defects in genes responsible for bile duct formation.

Signs of Biliary Atresia

Symptoms typically develop between two to eight weeks after birth:

  • Persistent Jaundice: Yellowing of the skin and eyes that lasts beyond two weeks.
  • Pale Clay-Colored Stools: Stools lack normal color because no bile reaches the intestine.
  • Dark Urine: Excess bilirubin is filtered by the kidneys, turning the urine dark tea-colored.
  • Abdominal Swelling: Enlarged liver (hepatomegaly) and spleen due to bile backup.

Why Early Intervention Matters

Time is of the essence when treating Biliary Atresia. If the Kasai procedure is performed within the first 60 days of life, the success rate for establishing bile flow is significantly higher. Delayed surgery increases the risk of irreversible liver cirrhosis, making a liver transplant the only viable option. Early screening and prompt surgical care are crucial to preserving the infant's native liver.

Comprehensive Care Approach

Our care extends beyond the operating room. We offer specialized nutritional support, as infants with Biliary Atresia often struggle to absorb essential fats and vitamins. Continuous monitoring by our paediatric hepatology team ensures that any signs of cholangitis or portal hypertension are managed immediately, providing the best possible quality of life for your child.

Advanced Care

Treatment Options

Kasai Procedure

A surgical bypass that connects a loop of the small intestine directly to the liver to restore bile drainage.

Nutritional Therapy

Specialized formulas and vitamin supplements to support growth and development despite impaired bile flow.

Transplant Evaluation

Ongoing assessment and preparation for a potential liver transplant if the Kasai procedure is insufficient.

Clinical Path

The Surgical Process

01

Diagnostic Workup

Includes blood tests, liver ultrasound, and often a HIDA scan or liver biopsy to confirm the diagnosis and rule out other causes of jaundice.

02

Kasai Surgery

Performed under general anesthesia, where the damaged bile ducts are bypassed using the infant's own intestine to restore bile flow.

03

Post-Op Recovery

Focuses on nutrition and preventing infections (cholangitis). Long-term monitoring of liver function is essential for a healthy outcome.

Success Stories

Hear From The Parents

"Dr. Chowdhary's expertise in the Kasai procedure was a miracle for our baby. He explained the risks and benefits so clearly, and today our son is thriving."

Meera K.
Mother

"We were terrified about such a major surgery on a 2-month-old. Dr. Sujit's calm and professional approach gave us the confidence we needed."

Rajesh V.
Father

"The best decision for our child's liver health. The team at Apollo and Dr. Chowdhary are world-class. Our infant recovered remarkably well."

Sonia R.
Mother

"The precision in Dr. Chowdhary's neonatal surgery is incredible. His confidence gave us immense peace of mind during a very stressful time."

Anita Sharma
Mother

"We traveled from another city just for Dr. Chowdhary. His approach is very scientific and methodical yet very caring."

Karan Singh
Parent

"The nursing staff and Dr. Sujit are a fantastic team. They handled our infant's surgery with so much care and warmth."

Priya R.
Mother

"The best decision we made for our child's health. Dr. Chowdhary is incredibly patient and explained everything so well."

Sanjay V.
Father
Dr. Sujit Chowdhary

Neonatal Liver Expertise

Why Choose Dr. Sujit Chowdhary?

Biliary Atresia surgery requires extreme precision in small infants. Experience in hepatobiliary reconstruction is the most important factor in a successful outcome.

  • Specialist in complex neonatal biliary reconstructions.
  • High success rates in the Kasai procedure.
  • Multidisciplinary team including paediatric hepatologists.
  • Focus on long-term liver health and nutrition.
  • Compassionate care for newborns and their families.
Learn More About Doctor

Common Queries

Frequently Asked Questions

What is Biliary Atresia?

It is a rare childhood disease of the liver where the bile ducts are blocked, leading to bile buildup and liver damage.

What is the Kasai Portoenterostomy procedure?

It is the primary surgical treatment that bypasses the blocked bile ducts by connecting a loop of the small intestine directly to the liver.

What is the ideal age for the Kasai procedure?

It should ideally be performed before 60 days of age. Early surgery significantly improves the chance of restoring bile flow.

Is a liver transplant always necessary?

While the Kasai procedure helps delay or avoid a transplant, many children with biliary atresia may eventually require a liver transplant later in childhood.

What are the main signs of biliary atresia?

Persistent jaundice beyond 2 weeks of life, pale or clay-colored stools, and dark urine are key red flags.

How long is the hospital recovery after Kasai surgery?

Typically, children stay in the hospital for 7 to 10 days for monitoring of bile drainage and nutritional support.

What postoperative care is needed?

Long-term follow-up involves nutritional supplements (fat-soluble vitamins), antibiotics to prevent cholangitis, and liver function monitoring.

Get in Touch

Book an Appointment

Early Kasai surgery is critical for restoring bile flow in biliary atresia. Schedule a consultation today.

Clinic Address

D6, Club, 2, opposite Vasant Vihar, Vasant Vihar, New Delhi, Delhi 110057

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+91 98732 06761

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