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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7
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pubmed:dateCreated |
1986-7-21
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pubmed:abstractText |
From June 1980 to September 1984, forty-five newborns (weight greater than or equal to 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.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0002-922X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
140
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
662-4
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:3717104-Age Factors,
pubmed-meshheading:3717104-Bile,
pubmed-meshheading:3717104-Colon,
pubmed-meshheading:3717104-Contrast Media,
pubmed-meshheading:3717104-Female,
pubmed-meshheading:3717104-Gastric Lavage,
pubmed-meshheading:3717104-Gastrointestinal Diseases,
pubmed-meshheading:3717104-Humans,
pubmed-meshheading:3717104-Infant, Newborn,
pubmed-meshheading:3717104-Intestinal Obstruction,
pubmed-meshheading:3717104-Intubation, Gastrointestinal,
pubmed-meshheading:3717104-Male,
pubmed-meshheading:3717104-Meconium,
pubmed-meshheading:3717104-Radiography, Abdominal,
pubmed-meshheading:3717104-Vomiting
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pubmed:year |
1986
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pubmed:articleTitle |
Green vomiting in the first 72 hours in normal infants.
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pubmed:publicationType |
Journal Article
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