Neonatal surgical jaundice revisited

Neonatal hyperbilirubinemia is a common problem in newborn nurseries and manifest clinically as jaundice. Nearly 25-50% of all newborns and a much higher percentage of premature babies develop hyperbilirubinemia. This is mostly physiological, but a small percentage of these babies have pathological...

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Bibliographic Details
Published inIndian journal of pediatrics Vol. 72; no. 5; pp. 415 - 423
Main Authors Gupta, R, Nagdeve, N G, Sarin, Y K
Format Journal Article
LanguageEnglish
Published India 01.05.2005
Subjects
Bilirubin - metabolism
Biomarkers - metabolism
Diagnosis, Differential
Health Services Accessibility
Humans
India
Infant, Newborn
Jaundice, Neonatal - diagnosis
Jaundice, Neonatal - metabolism
Jaundice, Neonatal - surgery
Liver Diseases - diagnosis
Patient Selection
India
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Summary:Neonatal hyperbilirubinemia is a common problem in newborn nurseries and manifest clinically as jaundice. Nearly 25-50% of all newborns and a much higher percentage of premature babies develop hyperbilirubinemia. This is mostly physiological, but a small percentage of these babies have pathological jaundice, requiring detailed investigations and management. It is also absolutely essential to consider a possibility of extra-hepatic biliary atresia early, during management of a case of neonatal direct hyperbilirubinemia as early surgical intervention results in a better outcome in EHBA. This article aims to describe the diagnostic approach to neonatal hyperbilirubinemia with special emphasis on conditions requiring surgical intervention also it throws light on present status of EHBA in Indian circumstances.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
ISSN:0019-5456
0973-7693
DOI:10.1007/BF02731739