What procedure is performed for infants presenting with jaundice beyond 14 days of age?

The procedure indicated for infants presenting with jaundice beyond 14 days of age is the Kasai procedure. This surgical intervention is specifically aimed at treating biliary atresia, a condition in which the bile ducts are absent or damaged, leading to obstruction and subsequent liver damage due to retained bile.

In performing the Kasai procedure, the surgeon removes the damaged bile ducts and reconnects the liver to a portion of the intestine, allowing bile drainage to occur directly into the intestine. This procedure is most effective when performed early in life, ideally before the infant reaches 3 months of age, as it can help to preserve liver function and improve the outlook for the child.

In cases where jaundice persists beyond two weeks, particularly if associated with other signs of biliary atresia, the Kasai procedure becomes a crucial intervention to manage the infant's condition and reduce the risk of severe liver complications.

Other options, such as percutaneous biliary drainage and laparoscopic cholecystectomy, are not first-line treatments for jaundice in this age group. Hepaticojejunostomy is typically reserved for cases involving more complex biliary issues in older children or adults. The Kasai procedure remains the standard approach for infants with prolonged jau