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[Neonatal hematemesis caused by peptic esophagitis]
Archives Francaises De Pediatrie
|March 1, 1979
Insights
Neonatal peptic esophagitis can cause significant bleeding in newborns, even in those given vitamin K. This condition, often linked to hiatus hernia, requires careful diagnosis and management.
Area of Science:
- Pediatrics
- Gastroenterology
- Neonatology
Background:
- Neonatal gastrointestinal bleeding is a serious concern.
- Vitamin K is routinely administered to prevent bleeding disorders in newborns.
- Hiatus hernia and peptic esophagitis are potential causes of upper GI bleeding in neonates.
Abstract:
Five full term neonates presented with haematemeses on one of the first three days of life. All but one had been given vitamin K at birth. Two out of five had clotting abnormalities that suggested vitamin K deficiency. All had evidence of hiatus hernia and, on oesophagoscopy, had evidence of peptic oesophagitis. Bleeding is another complication of neonatal peptic oesophagitis.