Biliary atresia (BIL-ee-ayr-ee . ah-TREE-zee-uh) is the congenital absence or closure of the ducts that drain bile from the liver. One of the functions of the liver is to produce bile (made up of cholesterol, bile salts, and waste products) that drains from the liver into the small intestine where it helps digest food. Absence of the bile drainage system (called the hepatic system) or its disappearance is called biliary atresia.
With biliary atresia, a progressive inflammatory process begins in the liver soon after birth, typically first affecting the ducts outside the liver. Swelling and scarring of the drainage system traps the bile within the liver and this back-up then damages the liver cells very rapidly, resulting in liver cirrhosis (scarring and decreased function).. Biliary atresia only affects newborns and is not hereditary, contagious or preventable. A possible cause may be a virus that sets up an autoimmune reaction where the body’s own defenses begin to damage its own cells
Babies will appear normal at birth but develop jaundice (skin and sclera of eyes turn yellow), dark urine, and light-colored stools in the first week of life. Every baby jaundiced after 1 month of age should be evaluated for biliary atresia by testing the baby’s blood. As the baby's bilirubin increases due to lack of drainage, the abdomen becomes very firm and enlarged due to the increasing liver size. As this occurs, the baby will become irritable and lose weight (although fluid buildup may mask this). This rare condition occurs in 1 of every 15,000 births, slightly more often in females. It is more common in Asian and black children. About 300 babies are born each year with biliary atresia in the US. Our program has been tracking biliary atresia among live births in select counties since 2005 and are gradually expanding statewide.
- Using data from births to Hennepin and Ramsey county residents between 2009-2013, we found that fewer than 1 baby was born with biliary atresia per 10,000 births.
- Using this data, we estimate about 7 babies are born with biliary atresia every year in Minnesota.
Parental education and support are essential, and local, regional and national organizations may be very helpful.
Condition specific organizations
- American Pediatric Surgical Association
- American Liver Foundation
- Children's Liver Disease Foundation
- Children's Liver Association for Support Services
- Medline Plus - biliary atresia
- Complex Child