Management of Neonatal Obstructive Jaundice

A plan of management of neonatal obstructive jaundice is proposed for use in units specializing in the treatment of this difficult condition. Reliance is placed in needle liver biopsy used early (and repeatedly if necessary) to judge the rate of development of fibrosis in the liver and to reach a diagnosis. Blind porto-enterostomy is used in biliary atresia when no patent proximal duct is found. Emotional support of parents through this long illness is important. The procedures described should not be attempted by surgeons less experienced with this disease.