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Die BA definiert sich \u00fcber das Ausma\u00df der extra- und intrahepatischen Gallenwegsdestruktion, die innerhalb der ersten Lebensjahre zum Bild der Leberzirrhose f\u00fchrt. Die Lebertransplantation (LT) ist die einzige kurative Therapie der BA, einhergehend mit LT-assoziierten Risiken und Komplikationen. Doch auch \u00fcber 60\u00a0Jahre nach ihrer Erstbeschreibung hat die Kasai-Hepatoportoenterostomie (KPE) einen wichtigen Stellenwert in der sequenziellen Behandlung der BA als prim\u00e4re chirurgische Therapieoption, die ein l\u00e4ngeres \u00dcberleben mit eigener Leber erm\u00f6glichen kann. Wir beleuchten chirurgische Schl\u00fcsselschritte der KPE und diskutieren relevante Aspekte.<\/jats:p>","DOI":"10.1007\/s00104-025-02259-2","type":"journal-article","created":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T15:26:30Z","timestamp":1740756390000},"page":"474-481","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Die Kasai-Hepatoportoenterostomie zur Behandlung der Gallengangatresie\u00a0\u2013 Worauf kommt es an?","Kasai-hepatoportoenterostomy for the treatment of biliary atresia\u00a0\u2013 What is important?"],"prefix":"10.1007","volume":"96","author":[{"given":"Omid","family":"Madadi-Sanjani","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uta","family":"Herden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Uecker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,2,27]]},"reference":[{"key":"2259_CR1","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1097\/MPG.0000000000000986","volume":"62","author":"R Arnon","year":"2016","unstructured":"Arnon\u00a0R, Annunziato\u00a0RA, D\u2019Amelio\u00a0G et\u00a0al (2016) Liver transplantation for biliary atresia: is there a\u00a0difference in outcome for infants? 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