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9%), two (11.7%) had child A cirrhosis, and six (35.2%) were asymptomatic. Overall, 18 (72%) of the 25 children had liver pathology in the long-term. Conclusion Although prevalence is rare, patients with liver disorders should be checked for alpha-1 antitrypsin levels. Moreover, long-term follow-up is essential because most patients have a liver pathology. Copyright © 2020 by The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition.Purpose The Oral-anal Transit Test (OTT) is a simple method of obtaining information ab