A strategy to identify biliary atresia efficiently: A perspective from a Texas center
Sanjiv Harpavat1, Tebyan A Rabbani2, Ashley M Upton3
1Department of Pediatrics, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas, USA.
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Infants with biliary atresia are often diagnosed after 60 days of life because the disease is difficult to detect in its early stages. However, infants treated before 30-45 days of life have the best long-term outcomes. To help accelerate the biliary atresia diagnosis, we have developed a streamlined strategy that involves two sequential tests: (1) direct or conjugated bilirubin measurements and (2) a feeding abdominal ultrasound exam. In this review, the strategy is shared to encourage others to provide feedback as well as to consider incorporating portions into their own clinical workflows.
