Eur J Pediatr Surg 2012; 22(06): 489
DOI: 10.1055/s-0032-1330852
Letter to the Editor
Georg Thieme Verlag KG Stuttgart · New York

Response to the Letter to the Editor on Biliary Atresia and Inguinal Hernia

Augusto Zani
1  Department of Paediatric Surgery, King's College Hospital, Denmark Hill, London, United Kingdom
,
Mark Davenport
1  Department of Paediatric Surgery, King's College Hospital, Denmark Hill, London, United Kingdom
› Author Affiliations
Further Information

Publication History

17 September 2012

05 October 2012

Publication Date:
21 November 2012 (online)

Thanks for giving us the opportunity to reply to the letter of Joob and Wiwanitkit.[1]

The authors state that no case of inguinal hernia was found in a “large series” that they have recently reported.[2] Unfortunately, first we have to dispute the accuracy and veracity of their work given their apparent confusion on what a Kasai operation is intended for: “Kasai operation…is primarily proposed as a surgical correction technique for choledochal duct cyst.” Second, their “review” is actually based on a simplistic interpretation of four entirely separate articles from different Thai centers published between 1994 and 2006.[3] [4] [5] [6] Not one of these series was ever designed to answer the central question we posed concerning the association of biliary atresia (BA) with inguinal hernia.

The lack of any hernia in a series of 200 infants and children is in itself remarkable, regardless of the presence of an underlying pathology.

We look forward to others confirming or disproving the association between BA and inguinal hernias but this Thai “review” does not do either.