| Summary: | The Kasai portoenterostomy is the first-line treatment for the restoration of the flow of bile to the
small intestine in patients with biliary atresia. Various complications can occur after Kasai portoenterostomy,
including ascending cholangitis, biliary cirrhosis, and portal hypertension. Of these potential
complications, ascending cholangitis in the most common. In cases of patients having uncontrolled
complications due to progressive liver cirrhosis, portal hypertension, or progressive
hyperbilirubinemia, liver transplantation is the indicated as treatment plan. Lifelong follow-up, particularly
involving imaging studies, is important for the identification of various complications arising
from biliary atresia after Kasai portoenterostomy. Additionally, imaging studies play a crucial role in
the evaluation of potential liver donors and recipients. US is a key imaging modality utilized in the
management of patients who undergo Kasai portoenterostomy, while CT and MRI are imperative to
obtaining an accurate diagnosis.
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