Biliary Atresia Part I

This podcast is a discussion of the international approach to diagnosis and management of biliary atresia, amongst Dr. Todd Ponsky, Dr. Yamataka Atsuyuki, Dr. Greg Tiao, Dr. Mark Davenport, and Dr. Jorge Bezerra. Dr. Greg Tiao is the Director of General and Thoracic Surgery, Frederick C. Ryckman Chair in Pediatric Surgery, Surgical Director of Liver Transplantation, and Associate Director of the Pediatric Surgery Fellowship at Cincinnati Children’s Hospital. Dr. Yamataka Atsuyuki is Professor and Head of Pediatric General and Urogenital Surgery at Juntendo University in Tokyo, Japan. Dr. Mark Davenport is the Head of Department of Pediatric Surgery and Professor at King’s College Hospital, London, and immediate past President of BAPS. Dr. Jorge Bezerra is the Director of the Division of Gastroenterology, Hepatology and Nutrition, and Medical Director of the Pediatric Liver Care Center at Cincinnati Children’s Hospital. Time stops: 00:02:28 Case 1: 50-day-old male with jaundice and clay-colored stools 00:03:26 Stool Card 00:05:20 Differential diagnosis 00:06:01 Bloodwork 00:07:48 Initial imaging: Ultrasound 00:09:38 Absence of gallbladder on ultrasound, now what? 00:09:49 Biopsy? 00:11:13 Scintography and diagnostic laparoscopy? 00:13:50 NASPHGAN Guidelines 00:14:44 Biopsy results 00:17:14 Role of ERCP 00:18:21 After positive biopsy, exploration and cholangiogram 00:19:09 Performing the Kasai procedure 00:19:29 Open Kasai (Davenport) 00:20:19 Open Kasai (Tiao) 00:21:36 Laparoscopic Exploration and Kasai (Yama) 00:25:48 US: Tips & Tricks for the operation 00:28:15 London: Tips & Tricks for the operation 00:30:31 Japan: Tips & Tricks for the operation Intro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626