skip to main content

Biliary Atresia Surgery — RACP Paediatrics MCQ

Instant feedback + full explanation. One question, done properly.

ModerateGastroenterologyBiliary Atresia SurgeryRACP Paediatrics

A newborn is diagnosed with biliary atresia at 6 weeks of age. What surgical procedure should be performed as soon as possible?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Kasai portoenterostomy

Kasai portoenterostomy (hepatic portoenterostomy) should be performed before 60 days of age for the best outcomes. It involves excision of the obliterated extrahepatic bile ducts and anastomosis of a Roux-en-Y jejunal loop to the porta hepatis. Even with successful Kasai, many children will eventually require liver transplantation.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Biliary Atresia