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Related Experiment Videos

Bilious vomiting in the newborn: How often is it pathologic?

Prasad Godbole1, Mark D Stringer

  • 1Department of Paediatric Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, England.

Journal of Pediatric Surgery
|May 31, 2002
PubMed
Summary

Bilious vomiting in newborns often suggests intestinal obstruction, but this study found 62% of cases had no surgical cause. Most infants with non-surgical bilious vomiting experienced no long-term issues.

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Area of Science:

  • Neonatal Surgery
  • Pediatric Gastroenterology
  • Clinical Outcomes

Background:

  • Bilious vomiting is a common neonatal surgical unit admission symptom.
  • Not all neonatal bilious vomiting indicates intestinal obstruction.

Purpose of the Study:

  • To investigate the outcomes of neonates presenting with bilious vomiting.
  • To differentiate surgical from non-surgical causes of neonatal bilious vomiting.

Main Methods:

  • Prospective audit of neonates with bilious vomiting over two years.
  • Inclusion criteria: bilious vomiting; exclusion: bilious aspirates without vomiting.
  • Data collected: demographics, symptoms, investigations, diagnoses, and clinical progress.

Main Results:

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  • Sixty-three neonates were analyzed (median gestational age 40 weeks).
  • Surgical causes identified in 38% (e.g., Hirschsprung's disease, atresia, malrotation).
  • Non-surgical causes found in 62%, resolving with conservative management.

Conclusions:

  • Bilious vomiting in newborns warrants investigation for intestinal obstruction.
  • A significant majority (62%) of neonatal bilious vomiting cases were not due to obstruction.
  • Most neonates with non-obstructive bilious vomiting had favorable outcomes.