Question

A three-month-old baby underwent a hepatojejunal anastomosis when they were two months old, and the surgery has been over a month ago. Now, the baby still has yellow urine and white stools, and the doctor says the baby’s liver has turned black. Can it still be cured?

Answer

Bile duct atresia is one of the causes of neonatal jaundice. The cause of the disease is not yet clear, but it is generally believed to be related to intrauterine viral infection, secondary biliary duct inflammation, and congenital bile duct malformation. When a baby is born, if jaundice continues to worsen and the stool turns gray or pale yellow, it may indicate bile duct atresia. Congenital bile duct atresia should be treated with surgery as soon as possible within three months after birth, and hepatojejunal anastomosis is currently the most successful surgical method. However, the feasibility and effectiveness of the surgery depend on the type of malformation, and intrapulmonary obstruction is also difficult to handle. Based on the information provided, the baby’s liver has turned black, which may suggest that the surgical procedure did not completely resolve the intrapulmonary obstruction issue. It is recommended to communicate further with the doctor to understand the specific situation and seek more treatment options. Please note that the above answer is for reference only, and specific diagnosis and treatment should be determined by professional doctors based on actual circumstances.