Growth and Fibrosis in Children With Biliary Atresia: A Retrospective Cohort Study - Report - MDSpire
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Child Growth and Fibrosis Associated with Biliary Atresia: Findings from a Retrospective Cohort Analysis

  • By

  • Cecilie Lindebjerg

  • Martin Bo Rasmussen

  • Lars Søndergaard Johansen

  • Thora Wesenberg Helt

  • Vibeke Brix Christensen

  • September 5, 2026

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Clinical Report: Child Growth and Fibrosis Associated with Biliary Atresia

Overview

This study investigates growth patterns in children with biliary atresia (BA) in Denmark, focusing on catch-up growth and the impact of liver transplantation.

Background

Biliary atresia is a critical condition leading to liver failure in infants if not treated promptly. Early intervention, such as the Kasai procedure, is essential for improving outcomes.

Data Highlights

No numerical data or trial data were provided in the source material.

Key Findings

  • Biliary atresia is categorized into three types based on the site of bile duct obstruction.
  • Without treatment, children with BA develop cirrhosis within 6 months and liver failure within 1 year.
  • Growth during early childhood is a significant predictor of later development and height.
  • Insulin-like growth factor-1 (IGF-1) plays a role in growth hormone secretion and may influence catch-up growth post-transplant.
  • The study followed children from 2006 to 2024, collecting data on growth and liver function.

Clinical Implications

The severity of liver disease and the timing of liver transplantation may influence growth outcomes.

Conclusion

The findings highlight the relationship between growth dynamics in children with biliary atresia and liver transplantation.

Related Resources & Content

  1. The New Gastroenterologist, News Gastro, 2025 -- Assessment of Liver Stiffness as a Predictor of Long-Term Prognosis in Children with Biliary Atresia
  2. the pathologist, The Pathologist, 2017 -- Biliary Biomarker
  3. Frontiers in Pediatrics, Frontiers in Pediatrics, 2026 -- A preliminary study of ECT2 as a novel biomarker for assessing liver fibrosis and prognosis in biliary atresia
  4. MDSpire News, MDSpire News -- AAP Guide Targets Early Biliary Atresia
  5. Guidance for the Primary Care Provider in Identifying Infants With Biliary Atresia by 2–4 Weeks of Life: Clinical Report | Pediatrics | American Academy of Pediatrics
  6. Clinical Practice Guidelines for Biliary Atresia in Japan, 2nd Edition - PubMed
  7. Timing of Kasai Procedure for Biliary Atresia: An Analysis of the Pediatric National Surgical Quality Improvement Program Database - PubMed
  8. NIDDK Central Repository - FibroScan in Pediatric Cholestatic Liver Disease (FORCE)
  9. Aspartate Aminotransferase-to-platelet Ratio Index (APRi) as Biomarker for Liver Damage in Biliary Atresia (BA): A Meta-analysis
  10. Value of preoperative APRI and FIB-4 in assessing short-term prognosis after Kasai portoenterostomy
  11. Growth in children with biliary atresia before and after liver transplantation: a retrospective analysis - PMC
  12. Risk factors for postoperative growth retardation in children with biliary atresia after kasai portoenterostomy: A retrospective analysis - PubMed
  13. Diagnostic and management guidelines for biliary atresia in 2025 - Ge - HepatoBiliary Surgery and Nutrition
  14. Guidance for the Primary Care Provider in Identifying Infants With Biliary Atresia by 2–4 Weeks of Life: Clinical Report | Pediatrics | American Academy of Pediatrics
  15. Clinical Practice Guidelines for Biliary Atresia in Japan, 2nd Edition - PubMed
  16. Timing of Kasai Procedure for Biliary Atresia: An Analysis of the Pediatric National Surgical Quality Improvement Program Database - PubMed
  17. NIDDK Central Repository - FibroScan in Pediatric Cholestatic Liver Disease (FORCE)
  18. Aspartate Aminotransferase-to-platelet Ratio Index (APRi) as Biomarker for Liver Damage in Biliary Atresia (BA): A Meta-analysis - ScienceDirect
  19. Value of preoperative APRI and FIB-4 in assessing short-term prognosis after Kasai portoenterostomy
  20. Growth in children with biliary atresia before and after liver transplantation: a retrospective analysis - PMC
  21. Risk factors for postoperative growth retardation in children with biliary atresia after kasai portoenterostomy: A retrospective analysis - PubMed
  22. Diagnostic and management guidelines for biliary atresia in 2025 - Ge - HepatoBiliary Surgery and Nutrition

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