Green Vomiting in the First 72 Hours in Normal Infants

Lilien, Lawrence D.; Srinivasan, Gopal; Pyati, Suma; Yeh, Tsu F.; Pildes, Rosita S.

doi:10.1001/archpedi.1986.02140210060026

Cited by 19 publications

(24 citation statements)

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“…Reported series have confirmed the requirement for further investigation in this group, with a need for surgical intervention in 30-40% 1 2. To “avoid errors in judgment” these studies included only babies with green vomit and excluded babies with yellow vomit.…”

Section: Introductionmentioning

confidence: 93%

Colour of bile vomiting in intestinal obstruction in the newborn: questionnaire study

Walker

Neilson

Young

et al. 2006

BMJ

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Objectives To identify the colour that different groups of observers thought represented bile in a newborn's vomit. Design Questionnaires displaying eight colours (pale yellow to dark green). Setting General practices in Glasgow, postnatal ward and level III special care baby unit in a university teaching hospital, and mother and toddler groups in Glasgow. Participants 47 general practitioners, 29 nurses on the baby unit, 48 midwives, and 41 mothers of babies and infants. Outcome measures Participants indicated which colour would represent bile in a baby's vomit. More than one colour could be chosen. Respondents were also asked to indicate one colour that was the best match for bile. Results When any colour could be chosen, 12 (25%) general practitioners, 1 (3%) nurse on the baby unit, 5 (10%) postnatal midwives, and 23 (56%) parents did not consider green an appropriate colour for a baby's vomit containing bile. Twenty three (49%) general practitioners, 7 (24%) neonatal nurses, 15 (31%) postnatal midwives, and 29 (71%) parents thought yellow was the best colour match. Conclusions There is little agreement about the colour of bile vomit in a newborn. It is more pertinent to ask parents about the colour of vomit rather than whether it contained bile. Many general practitioners and parents do not recognise green as an appropriate colour for bile in the vomit of newborns, which may delay surgical referral. Though yellow vomit does not exclude intestinal obstruction, the presence of green vomiting in a baby is a surgical emergency and requires expeditious referral.

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Section: Introductionmentioning

confidence: 93%

Colour of bile vomiting in intestinal obstruction in the newborn: questionnaire study

Walker

Neilson

Young

et al. 2006

BMJ

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“…Studies have shown that 20% to 50% of neonates presenting with bilious emesis within the fi rst week of life have a surgical condition. [27][28][29] For example, bilious vomiting is common symptoms in infants who have malrotation with volvulus.…”

Section: Serious Disorders Causing Gastrointestinal Complaints In Neomentioning

confidence: 99%

The Critically Ill Neonate

McCollough¹,

Rothrock²

2008

Pediatric Emergency Medicine

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“…Approximately 40% of neonates who have bilious emesis will have a surgical etiology [23,24]. Apart from a midgut volvulus, one should consider other surgical conditions including meconium ileus, Hirschsprung's disease, duodenal atresia, necrotizing enterocolitis, Meckel's diverticulum, intussusception, and appendicitis.…”

Section: Differential Diagnosismentioning

confidence: 99%

Essential Diagnosis of Abdominal Emergencies in the First Year of Life

Louie

2007

Emergency Medicine Clinics of North America

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Green Vomiting in the First 72 Hours in Normal Infants

Cited by 19 publications

References 0 publications

Colour of bile vomiting in intestinal obstruction in the newborn: questionnaire study

Colour of bile vomiting in intestinal obstruction in the newborn: questionnaire study

The Critically Ill Neonate

Essential Diagnosis of Abdominal Emergencies in the First Year of Life

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