Neonatal Cholestasis

被引:51
作者
Lane, Erin [1 ]
Murray, Karen F. [1 ]
机构
[1] Seattle Childrens Hosp, Div Gastroenterol, 4800 Sand Point Way Northeast,M-S OB 9-620, Seattle, WA 98115 USA
关键词
Neonatal cholestasis; Neonatal liver disease; Biliary atresia; Jaundice; Cholestasis; TYROSINEMIA TYPE-I; BILIARY ATRESIA; ALAGILLE-SYNDROME; LIVER-DISEASE; CHOLEDOCHAL CYSTS; NOTCH2; MUTATIONS; RISK-FACTORS; HEPATITIS; CARCINOMA; FREQUENCY;
D O I
10.1016/j.pcl.2017.01.006
中图分类号
R72 [儿科学];
学科分类号
100202 [儿科学];
摘要
Neonatal jaundice is common and usually not concerning when it is secondary to unconjugated hyperbilirubinemia, below the neurotoxic level, and resolves early. Primary care providers should be vigilant, however, about evaluating infants in whom jaundice presents early, is prolonged beyond 2 weeks of life, or presents at high levels. Even in well-appearing infants, fractionated (direct and indirect) bilirubin levels should be obtained in these clinical scenarios to evaluate for potential cholestasis. This review presents an approach to the evaluation of a jaundiced infant and discusses diagnosis and management of several causes of neonatal cholestasis.
引用
收藏
页码:621 / +
页数:20
相关论文
共 64 条
[1]
Al-Hathlol K., 2006, SMJ Singapore Medical Journal, V47, P147
[2]
Balistreri WF, 1996, HEPATOLOGY, V23, P1682, DOI 10.1002/hep.510230652
[3]
Balistreri William F, 2006, Clin Liver Dis, V10, P27
[4]
NUTRITIONAL CARE AND CANDIDATES FOR SMALL-BOWEL TRANSPLANTATION [J].
BEATH, SV ;
BOOTH, IW ;
MURPHY, MS ;
BUCKELS, JAC ;
MAYER, AD ;
MCKIERNAN, PJ ;
KELLY, DA .
ARCHIVES OF DISEASE IN CHILDHOOD, 1995, 73 (04) :348-350
[5]
Potential etiologies of biliary atresia [J].
Bezerra, JA .
PEDIATRIC TRANSPLANTATION, 2005, 9 (05) :646-651
[6]
Choledochal cystic malignancies [J].
Bismuth, H ;
Krissat, J .
ANNALS OF ONCOLOGY, 1999, 10 :94-98
[7]
Blackmer AB, 2014, DIS LIVER CHILDREN, P327
[8]
Parenteral nutrition-associated liver complications in children [J].
Btaiche, IF ;
Khalidi, N .
PHARMACOTHERAPY, 2002, 22 (02) :188-211
[9]
Ursodeoxycholic acid (UDCA) therapy in very-low-birth-weight infants with parenteral nutrition-associated cholestasis [J].
Chen, CY ;
Tsao, PN ;
Chen, HL ;
Chou, HC ;
Hsieh, WS ;
Chang, MH .
JOURNAL OF PEDIATRICS, 2004, 145 (03) :317-321
[10]
Screening for biliary atresia by infant stool color card in Taiwan [J].
Chen, SM ;
Chang, MH ;
Du, JC ;
Lin, CC ;
Chen, AC ;
Lee, HC ;
Lau, BH ;
Yang, YJ ;
Wu, TC ;
Chu, CH ;
Lai, MW ;
Chen, HL .
PEDIATRICS, 2006, 117 (04) :1147-1154