Abstract
Summary Only 5% of untreated children with biliary atresia survive beyond 2 years. In contrast the 5-year survival after early surgery for non-syndromic cases is over 60% and increasing numbers of patients are now over 20 years of age. The prognosis is improved if portoenterostomy is performed before 8 weeks of age. Currently portoenterostomy and transplantation are viewed as complementary procedures in the overall management of biliary atresia.
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