Echocardiography, Bile Acids and Spleen Stiffness to Rule Out High‐Risk Varices in Children With Biliary Atresia

Key Points

• To evaluate whether a combined echocardiography and spleen stiffness model can effectively rule out high-risk varices in children with biliary atresia.
• Utilized an echocardiography-based model for children under 3 years old.
• Applied spleen stiffness criteria for children older than 3 years.
• Conducted analysis on current screening practices for high-risk varices.
• Potential reduction of 40% in the need for screening endoscopies among children with biliary atresia and portal hypertension.