Neonatal bilious vomiting: risk factors for surgical pathology
Bilious vomiting (BV) in newborn infants is an important presenting sign of intestinal obstruction. To determine the incidence and associated risk factors for surgical pathology in this population, we conducted a review of the presentation and management of term neonates with BV admitted to a neonatal intensive care unit. More than 50% of babies with BV presented within the first 24 hours but surgical pathology was more likely in infants who presented after 24 hours. Abdominal distension was a major risk factor for surgical pathology in infants with BV. Abdominal plain radiographs demonstrated a high sensitivity and specificity for predicting surgical pathology.
David A Cummins
Neonatal Consultant, Royal Jubilee Maternity Hospital, Belfast, Northern Ireland
Carl A Kuschel
Neonatal Consultant, Royal Women’s Hospital Melbourne, Australia
Cummins D.A., Kuschel C.A. Neonatal bilious vomiting: risk factors for surgical pathology. Infant 2023; 19(3): 100-04.
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