Green Vomiting in the First 72 Hours in Normal Infants

Lawrence D. Lilien, Gopal Srinivasan, Suma P. Pyati, Tsu F. Yeh, Rosita S. Pildes

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

From June 1980 to September 1984, forty-five newborns (weight, ≥2000 g), initially presumed normal, were seen with bilious vomiting in the first 72 hours and were prospectively followed up. Nine (20%) required surgical intervention, five (11%) had nonsurgical obstruction such as meconium plug or left microcolon, and the remaining 31 (69%) had idiopathic bilious vomiting. Infants with idiopathic bilious vomiting had a benign transient course and resumed feedings by 1 week of age; 30 of the 31 had normal or nonspecific findings on initial plain abdominal roentgenogram. Specific findings on the initial plain abdominal roentgenogram were noted in five infants, and four (80%) of these had a lesion requiring surgical intervention; 56% (5/9) of neonates with surgical lesions had normal or nonspecific findings on the plain abdominal roentgenograms. None developed bowel ischemia or midgut infarction secondary to a volvulus as they were identified by contrast studies shortly after the initial episode of bilious vomiting. Although the majority of "normal" neonates with bilious vomiting do not have a surgical lesion, this study indicates that 56% of surgical cases will be missed if contrast studies are not done.

Original languageEnglish
Pages (from-to)662-664
Number of pages3
JournalAmerican Journal of Diseases of Children
Volume140
Issue number7
DOIs
Publication statusPublished - Jan 1 1986
Externally publishedYes

Fingerprint

Vomiting
Newborn Infant
Intestinal Volvulus
Meconium
Infarction
Ischemia
Weights and Measures

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Green Vomiting in the First 72 Hours in Normal Infants. / Lilien, Lawrence D.; Srinivasan, Gopal; Pyati, Suma P.; Yeh, Tsu F.; Pildes, Rosita S.

In: American Journal of Diseases of Children, Vol. 140, No. 7, 01.01.1986, p. 662-664.

Research output: Contribution to journalArticle

Lilien, Lawrence D. ; Srinivasan, Gopal ; Pyati, Suma P. ; Yeh, Tsu F. ; Pildes, Rosita S. / Green Vomiting in the First 72 Hours in Normal Infants. In: American Journal of Diseases of Children. 1986 ; Vol. 140, No. 7. pp. 662-664.
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