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Cost of Kasai Procedure in Major Cities of India
| City | Minimum Cost (USD) | Minimum Cost (INR) | Maximum Cost (USD) | Maximum Cost (INR) |
|---|---|---|---|---|
| Ahmedabad | USD 22500 | 1926900 | USD 31500 | 2697660 |
| Bangalore | USD 25000 | 2141000 | USD 35000 | 2997400 |
| Chennai | USD 25000 | 2141000 | USD 35000 | 2997400 |
| Delhi | USD 25000 | 2141000 | USD 35000 | 2997400 |
| Faridabad | USD 25000 | 2141000 | USD 35000 | 2997400 |
| Ghaziabad | USD 25000 | 2141000 | USD 35000 | 2997400 |
| Gurgaon | USD 25000 | 2141000 | USD 35000 | 2997400 |
| Hyderabad | USD 25000 | 2141000 | USD 35000 | 2997400 |
| Kochi | USD 25000 | 2141000 | USD 35000 | 2997400 |
| Kolkata | USD 25000 | 2141000 | USD 35000 | 2997400 |
| Mumbai | USD 25000 | 2141000 | USD 35000 | 2997400 |
| Noida | USD 25000 | 2141000 | USD 35000 | 2997400 |
| Rajkot | USD 22500 | 1926900 | USD 31500 | 2697660 |
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A medical disease that affects infants' bile ducts is called biliary atresia. These ducts, which transport digestive secretions from the liver to the intestines, may be excessively small, obstructed, or undetectable. As a result, the liver endures significant damage from bile accumulation.
"A Kasai operation, also known as a "Hepatoportoenterostomy," is a surgical procedure in which the child's intestine is used to replace the damaged bile ducts at the base of the liver to restore bile flow from the liver."
The Kasai procedure (hepatoportoenterostomy) is performed to treat biliary atresia, a rare liver condition in infants where bile ducts are blocked or absent. The surgery helps restore bile flow from the liver to the intestine, preventing liver damage, jaundice, and eventual liver failure.
Parents should seek medical attention if their newborn has persistent jaundice beyond 2 weeks, pale or clay-colored stools, dark urine, enlarged liver, or poor weight gain. Early detection is critical, as the procedure is most effective when performed before 8 weeks of age.
Preparation includes blood tests, liver function tests, abdominal ultrasound, liver biopsy, and sometimes cholangiography (imaging of bile ducts). Parents are advised on the procedure, risks, and potential need for future liver transplant. The infant may need to fast before surgery.
The Kasai procedure involves:
- Removing the damaged or missing bile ducts outside the liver.
- Attaching a loop of the small intestine directly to the liver at the porta hepatis (the area where bile normally drains).
- This allows bile to drain directly from the liver into the intestine.
The surgery typically takes 4–6 hours. Depending on recovery and complications, the hospital stay is usually 1–2 weeks.
- Cholangitis (bile duct infection)
- Liver scarring (cirrhosis)
- Bleeding
- Portal hypertension
- Malnutrition
- Can restore bile flow and relieve jaundice
- May delay or avoid the need for liver transplantation
- Improves growth and nutrition in affected infants
Recovery involves antibiotics to prevent infection, nutritional support, and regular follow-ups to monitor liver function. Some children may need fat-soluble vitamin supplements. Long-term monitoring is necessary for signs of liver damage.
Success depends on the age at surgery and the degree of liver damage. If performed early (ideally before 8 weeks), bile flow is restored in about 30–60% of cases. However, over 50% of patients eventually require liver transplantation, usually by early childhood.
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Rajagiri Hospital
Kochi, India
- Rajagiri Hospital, Kochi, Kerala, is a leading multi-speciality tertiary care hospital known for providing world-class medical services with advanced technology and compassionate care.
- Accredited by JCI, NABH, and NABL, the hospital offers comprehensive treatment across specialities like Cardiology, Oncology, Neurology, Gastroenterology, Orthopaedics, Nephrology, Urology, and Paediatrics, making it a trusted healthcare destination in South India.
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