J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 6189KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 87(2): 162-171, 1986

Original article

HYPERBILIRUBINEMIA IN NEONATES ASSOCIATED WITH TOTAL PARENTERAL NUTRITION

*) Department of Pediatric Surgery and First Department of Surgery, Osaka University Medical School, Osaka, Japan
**) Second Department Surgery, Kagawa College of Medicine, Kagawa, Japan

Akio Kubota*), Riichiro Nezu*), Shinkichi Kamata*), Takeo Itakura*), Yoji Takagi*), Akira Okada*), Yoshikazu Ikeda**)

Clinical studies on the pathogenesis of hyperbilirubinemia (HB) in neonates during total parenterl nutrition (TPN) were performed. From 1971 to 1982, 77 neonates underwent TPN for more than 2 weeks in our institutions. Forty-four of them (57.2％) developed HB during the first one month of life. Twenty eight of 32 patients (87.5％) with dominant infection devloped hB, while only 16 of 45 (35.6％) without infection developed HB. Patients with any kind of obstructive intestinal diseases evoked HB more commonly than patients with other diseases. In addition, HB occurred more often in the patients receiving more than 110kcal/kg/day than those receiving less than that. Gestational ages, birth weights, the duration of TPN and fasting periods had no significant influence on the occurrence of HB.

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