Kasai Procedure cost in Turkey

Kasai Procedure in Turkey

A country with excellent healthcare infrastructure and advanced technological equipment, the success rate of Kasai procedure in Turkey is very high with low complication rates. This is because of no less reason than due to the skill and adeptness of the surgeons and allied healthcare professionals helping them in performing the procedure. They follow a stringent and streamlined method to complete the process, from the preoperative consultations, tests, the surgery itself, the post operative recovery and rehabilitation. Everything is done with precision and by adhering to the right protocols. It has been found that the surgeons here have in depth knowledge and practical experience in treating children with gastrointestinal disorders.

The track record of the pediatric surgeons is very good with strong patient reviews. Newer treatment techniques are developed with the intention of finding the best results for children. They are sought to be provided the best treatment available which can give them excellent results, long lasting results. It is in the interest of the parents and the kids that they avail of the Kasai treatment in Turkey.

Cost Comparison

The cost of Kasai procedure in Turkey is around US$ 35,000 dollars which is much lower than the US$ 80,000 to US$ 1,00,000 dollars that this surgery may cost in the United States of America. These costs are inclusive of the hospital stay, tests, consultation, surgery and the doctor’s fee.

Treatment and Cost

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21 Days Outside Hospital

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About the Kasai Procedure

Hepatoportoenterostomy or Kasai Portoenterostomy (the Kasai procedure) is a surgical procedure for the treatment of Biliary atresia. This is a gastrointestinal condition wherein the biliary system can be either missing or closed because the bile ducts bringing back bile flow from liver to intestine are damaged or destroyed.

How is Kasai Procedure performed?

Preparing for the Procedure

Discuss with the surgeon the best process to operate and ensure that they follow through with it. There are restrictions related to food and drink and kids, details are mentioned here,

Solid Food: 6 hours before surgery

Formula Milk: 6 hours before surgery

Breast Milk: 4 hours before surgery

Clear Fluids: 1 hour before surgery

Please remain in contact with the surgeon regarding the medications that the child is taking as this can have a bearing on the timeline of the surgery. 

Some preparations are done prior to the surgery such as an Electrocardiogram (ECG), Pulse Oximetry, and Intravenous line inserted into the vein of the foot or non-dominant hand. A nasogastric tube may be inserted into the nostril so that food reaches the stomach post-surgery. The anesthesiologist will also prepare you before the surgery as to what is in store and likely ask you questions about the child’s health parameters.

During the Procedure

This procedure takes about 4 hours to complete and is performed by Pediatric surgeons who have had specialized training in providing treatment through operations in children. Many small incisions (laparoscopic) and not one large incision (open surgery) can be employed by the surgeon in performing this surgery.

Bile ducts and gallbladder are replaced with part of the child's small intestine which is attached to the liver and starts working as an extrahepatic bile duct system. This ensures that the Liver to intestine bile flow is maintained as the two are now directly joined with each other.

Recovery from Kasai Procedure

Possible Risks and Complications of Kasai Procedure

There are, understandably a lot of risks and complications that can be associated with the Kasai Procedure (major surgery) and these are as follows:

  • Pain
  • Postoperative Infection
  • Adverse reaction to Anesthesia
  • Acute Cholangitis
  • Portal Hypertension
  • Hepatopulmonary Syndrome

Benefits of Kasai Procedure

The benefit of the Kasai Procedure is that in 1/3 rd kids, bile flow restoration goes to normal and liver function improves substantially. The rest may still end up requiring liver transplantation, 50 percent soon enough, rest a bit later.

Follow-Up Care Post-Kasai Procedure

The time taken for the bile flow to return to normal may be several months. You should ensure to have a post-procedure follow-up appointment with the Gastroenterologist, Hepatologist, and surgeon so as to monitor changes in the bile output, liver status after two to three weeks from the procedure. During this time blood tests are done which are an indication of improving liver function, Alkaline phosphatase, gamma-glutamyltransferase, and bilirubin test. Also, ultrasound elastography or FibroScan is performed to evaluate liver fibrosis, its presence, and extent.

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