PEDIATRICS Vol. 74 No. 1 July 1984, pp. 159-160
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Biliary Atresia and Liver Transplantation: The National Institutes of Health Point of View

JOHN R. LILLY MD1

1 Department of Surgery, University of Colorado School of Medicine, Denver

In August 1983, a bulletin, Liver Transplantation,1 printed and distributed under the aegis of the National Institutes of Health (NIH), was mailed to physicians throughout the United States. The bulletin was the product of a concensus panel convened to consider offered evidence (expert presentation of the available data) about liver transplantation. The panel was composed of a singular assortment of individuals including physicians in private practice, medical and pediatric department chairmen, a dean, a hospital director, and a person with a PhD in mathematics and statistics.

Whatever the validity of their transplantation conclusions, the panel's recommendations about extrahepatic biliary atresia appear arbitrary and suspect, if not downright erroneous.