Upper Gastrointestinal Bleeding in Full-Term Infants.
- Author:
Hyon Ju CHOI
1
;
Jae Seon KIM
;
Hye Sun YOON
;
Sun Hwan BAE
Author Information
1. Department of Pediatrics, School of Medicine, Eulji University, Korea. yhs3211@eulji.or.kr
- Publication Type:Original Article
- Keywords:
Full-term infant;
UGI bleeding
- MeSH:
Endoscopy;
Follow-Up Studies;
Gastritis;
Hematemesis;
Hemorrhage*;
Humans;
Infant*;
Infant, Newborn;
Melena;
Mothers;
Parturition;
Pediatrics;
Peptic Ulcer;
Pregnancy;
Recurrence;
Retrospective Studies;
Risk Factors;
Ulcer;
Vital Signs;
Vomiting
- From:Korean Journal of Pediatric Gastroenterology and Nutrition
2005;8(2):164-171
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The aim of this study was to evaluate the clinical characteristics, endoscopic findings and risk factors related to the upper gastrointestinal bleeding (UGIB) seen in full-term infants. METHODS: A clinical analysis for 9 cases with UGIB confirmed by endoscopy was carried out retrospectively. Patients were admitted to the Department of Pediatrics, Eulji Hospital, from January to December 2003. RESULTS: UGIB from gastric or duodenal mucosal lesions has been seen in 0.13% in newborns infants. All patients were full-term AGA neonates without asphyxic findings at birth. Hematemesis, melena or recurrent vomiting developed within 4.4+/-3.8 days after birth. Vital sign and laboratory test was normal on admission. Endoscopic findings showed hemorrhagic gastritis in 6 cases and peptic ulcers in 3 cases. All patients were successfully managed by medical treatment for 18.6+/-5.0 days. On treatment, clinical symptoms improved within 0.9+/-0.3 days. Follow-up endoscopy was not performed because there was no recurrence of symptoms in all patients. Case mothers had no history of gastritis, ulcer or anti-ulcer medications before and during pregnancy. CONCLUSION: If the healthy full-term infants express UGIB within a few days after birth, it is necessary to take careful history of family, mother and delivery process and to practice endoscopy for mucosal lesions of the patients. A follow-up endoscopy dose not seem to be necessary if the infant is clinically well.
