Gastrointestinal Problems in the Newborn Nursery
Gastrointestinal problems are one of the most common problems in newborn medicine and in the newborn nursery and are the source of numerous phone calls to clinicians daily. These problems can represent an acute emergency or by contrast a nonissue. However, with the first call received, it may be very difficult to discern if this is the nonissue or this is a major emergency. The goal is to quickly and clearly identify if the issue is one that may require surgery or one that can be managed with simple testing and observation. This chapter will present typical examples of gastrointestinal concerns, the starting points of workups, and ways to differentiate a severe problem from a nonissue.
KeywordsAtresia Obstruction Abdominal distension Emesis
- 1.Farhat R, Rajab M. Length of postnatal hospital stay in healthy newborns and re-hospitalization following early discharge. N Am J Med Sci. 2011:146–51. https://doi.org/10.4297/najms.2011.3146.
- 2.Taeusch HW, et al. Structural anomalies of the gastrointestinal tract. In: Avery's diseases of the newborn. Philadelphia: Elsevier Saunders; 2005.Google Scholar
- 3.Clark DC. Esophageal atresia and tracheoesophageal fistula. Am Fam Physician. 1999:910, 919–6, 920.Google Scholar
- 7.Solomon BD, et al. An approach to the identification of anomalies and etiologies in neonates with identified or suspected VACTERL (Vertebral Defects, Anal Atresia, Tracheo-Esophageal Fistula with Esophageal Atresia, Cardiac Anomalies, Renal Anomalies, and Limb Anomalies) association. J Pediatr. 2014;164(3). https://doi.org/10.1016/j.jpeds.2013.10.086.CrossRefGoogle Scholar
- 11.Pediatric Duodenal Atresia. Background, history of the procedure, problem, 24 August 2016, emedicine.medscape.com/article/932917-overview
- 14.Chouikh T, et al. Prenatal intestinal volvulus: look for cystic fibrosis. Br Med J. 2016; https://doi.org/10.1136/bcr-2016-217003.