Iko lyle had undergone major surgery with KASAI procedure Sept 18,2012 at the Philippine Children’s Medical Center (PCMC), Quezon City when he was only 6 weeks of life. Biliary Atresia occurs within the first two months of life when there is a blockage of the bile duct connecting the liver to the gut. Eventually the blockage will cause a buildup of bile in the liver that leads to damage and scarring of the liver cells, and if untreated, this scarring will cause liver failure and the need for liver transplantation. The Kasai operation attempts to reconstruct the bile duct with a loop of intestine. In the Kasai procedure the small intestine is attached to the liver directly so that the bile may drain. 

While the Kasai procedure allows some children who would otherwise not be able to live normal healthy lives return to normal growth and activities, most patients with this disease will still eventually need a liver transplant.