Kasai Procedure and Vitamin E
1 Division of Pediatric Gastroenterology and Nutrition, Children's Hospital Medical Center, Elland and Bethesda Avenues, Cincinnati, OH 45229
To the Editor.
The recent article by Burgess et al1 provides practitioners with encouraging data regarding the developmental outcome of children who have undergone the Kasai procedure for treatment of extrahepatic biliary atresia. The overall mean developmental quotient (DQ) was surprisingly normal, although in long-term survivors the DQ was somewhat lower. The gross motor development of these children, however, fell into the low-normal to delayed range after 8 months of age. Long-term survivors were noted to have a "lack of coordination and inaccuracy in performing gross motor tasks."




