Can PTCC Reduce Unnecessary Intraoperative Cholangiography for Infants' Biliary Stenosis with Cholestasis?

Cholestatic jaundice is a common finding in the newborn and young infants with the majority of this cases due to hyperbilirubinemia caused by multiplied conjugated bilirubin. These cases common caused by biliary obstruction due to biliary atresia or other cases. Biliary atresia happen in between 1/10,000 to 1/16,700 live births and this incidence has been consistent over time with a slightly higher on female babies. Intraoperative cholangiogram is the gold standard for diagnosing biliary atresia, but requires surgical intervention. Percutaneous transhepatic cholecysto-cholangiography are less invasive and effectively exclude biliary atresia