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• W1816408718 abstract "Resumo A hepatite neonatal e a atresia biliar, foram durante muitos anos responsaveis pela maioria dos casos de colestase em recem-nascidos. Estudos mais recentes demonstram que a sepsis e a nutricao parenteral sao actualmente as principais causas. O objectivo deste estudo foi identificar a etiologia, a morbilidade e a mortalidade nos recem-nascidos com colestase internados na nossa unidade. Estudamos 12 recem-nascidos, 9 do sexo masculino, 3 do sexo feminino, com peso ao nascimento de 2505+/-110 g (935-3280) e idade gestacional 36.5+/-2 semanas (27-41) internados de Janeiro de 1992 a Dezembro 1994. Os diagnosticos foram: sepsis -9 (75%); fibrose quistica 1 (8%); sifilis congenita -1 (8%) e hepatite de celulas gigantes - (8%). Cardiopatia congenita foi diagnosticada em 2 (16%) e malformacoes gastrointestinais em 3 (25%). Seis (50%) necessitaram de alimentacao parenterica. O inicio da colestase foi em media de 10.5 dias de vida. O tempo medio de internamento foi de 34.5 dias. Tres (25%) faleceram por patologia de base nao relacionada com a colestase. A ecografia foi efectuada em todos os casos. A cintigrafia hepatobiliar e a biopsia hepatica em 2 (16.6%). O fenobarbital foi utilizado no tratamento de 3 (25%). Concluimos que a sepsis esteve presente na maioria dos casos e que tambem na maior parte deles se encontraram outras razoes simultaneamente responsaveis pela colestase, o que confirma a etiologia multifactorial desta patologia. A existencia de colestase nas U.C.I.N. e uma realidade, e todos os esforcos devem ser realizados na tentativa da sua prevencao nomeadamente com o cumprimento rigoroso das normas de assepsia, bem como com a introducao precoce da alimentacao enterica. Palavras-chave: Colestase, Recem-nascido, Unidades de Cuidados Intensivos Neonatais. Summary Some years ago, neonatal hepatitis and biliary atresia made up the majority of cases of cholestasis. New studies have shown that frequency of causes has changed, and today cholestasis resulting from sepsis, acidosis, parenteral nutrition is the majority of cases in newborn. We have studied 12 newborns, 9 males, 3 females; birth weigt: 2505+/-110 g (935-3280); gestational age: 36.5+/-2 weeks (27-41); admitted in neonatal intensive care unit between January 92 — December 94. The aim of this study was to identify the etiology of cholestasis, morbility and mortality in cholestatic newborns in our NICU. Diagnosis were: Sepsis -9 (75%), cystic fibrosis -1 (8%); congenital syphilis -1 (8%); and giant cell hepatitis -1 (8%). Cardiac anomalies were identified in 2 (16%) and gastrointestinal in 3 (25%). Six (50%) received parenteral nutrition. The beginning of cholestasis was 10.5 +/-2 days and the discharge was 34.5+/- 5 days. The mortality was 25%. Ultrasonography was performed in all cases. Hepatobiliary scintigraphy and biopsy in 2 (16.6%). Phenobarbital was the treatment in 3 (25%). We concluded that sepsis was present in the majority of the cases, but in most of them we found at same time, other reasons accounting for cholestasis. Mortality and Morbility are related to the etiology of cholestasis. Our study confirm the etiology multifactorial of cholestasis." @default.
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• W1816408718 date "1997-01-01" @default.
• W1816408718 modified "2023-10-01" @default.
• W1816408718 title "Colestase Neonatal. Uma Realidade em Cuidados Intensivos Neonatais" @default.
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• W1816408718 doi "https://doi.org/10.25754/pjp.1997.5660" @default.
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