SUMMARY Cholestasis, understood as direct hyperbilirubinemia, is an important varied etiology, late consulting clinical condition with a high morbility and mortality, causing chronic liver disease, cirrhosis and death. Causes reduction in bile acids transport to the proximal small bowel producing a decrease in the intraluminal bile concentration, causing malbsorption, mainly of liposoluble vitamins and minerals. With an icteric child fi rst it should be necessary to rule out a secondarily indirect bilirubinemia. Generally, these children have a frank nutritional deterioration for a low intake due to malaise, fatigue, anorexia, dietary restriction and nutrient defi ciency; besides, their increased energy expenses, the presence of visceromegaly and/or ascitis, causing fullness and the presence of associated diseases producing nausea and vomiting. Surgical management summarized in early correction of bile tract atresia, biel cysts resection, bile anomlies correction, and where offered, liver transplant.