Ursodeoxycholic acid for preventing parenteral nutrition-associated cholestasis in neonates: A systematic review and

Rajendra Prasad Anne1, Srikanth Puttaiah Kadyada2, Abhishek Somasekhara Aradhya3

  • 1Neonatology, Kasturba Medical College, Manipal Academy of Higher Education (MAHE), Manipal, India.

PubMed

Insights

Ursodeoxycholic acid (UDCA) did not prevent cholestasis in neonates receiving parenteral nutrition. While UDCA improved feed tolerance and reduced bilirubin levels, the evidence quality was very low, precluding definitive conclusions.

Area of Science:

  • Neonatal Medicine
  • Gastroenterology
  • Pharmacology

Background:

  • Parenteral nutrition-associated cholestasis (PNAC) is a concern in neonates.
  • Ursodeoxycholic acid (UDCA) is used for treating PNAC, but its preventive role is not established.

Conclusions:

  • Definitive conclusions on UDCA for PNAC prevention in neonates cannot be made due to very low-quality evidence.
  • Further high-quality research is needed to clarify the role of UDCA in preventing PNAC.
Abstract

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