Wha-Young Kim MD, Presenter: Nothing to Disclose

Woo Sun Kim MD, Abstract Co-Author: Nothing to Disclose

In-One Kim MD, PhD, Abstract Co-Author: Nothing to Disclose

To evaluate the GB in premature babies with feeding intolerance.

We performed ultrasonography for GB evaluation in 50 premature babies with feeding intolerance and neonatal jaundice, aged 7-54 days (in mean 26 days). The gestational age was ranged from 27 to 37 weeks (in mean 34 weeks) and weighed from 1.4 – 2.7 kg (in mean 2.0 kg). 10 patients were diagnosed necrotizing enterocolitis and neonatal hepatitis in 10 patients and suspicious sepsis in 4 patients. We performed radiography and ultrasonography (ATL 5000, Philips) in all patients and follow-up sonography in 44 patients. We evaluated GB in size, volume and thickness in premeal state with 10 MHz linear transducer. We analyzed laboratory findings including GOT, GPT, total bilirubin and direct bilirubin levels. We compared the volume and length of GB in neonatal hyperbilirubinemia and neonatal hepatitis by use of Mann-Whitney test(p <0.05)

38 patients revealed ileus on radiography. On ultrasonography, 44 patients revealed small GB ( 0.05). On follow-up sonography, the length and volume of GB in neonatal hyperbilirubinemia was increased to normal range in 10-30 days but 40-90 days in neonatal hepatitis.

Small GB was common finding in premature babies with feeding intolerance, which was not easy for differentiation from neonatal hepatitis.

Kim, W, Kim, W, Kim, I, Evaluation of GB in Premature Babies with Feeding Intolerance.  Radiological Society of North America 2005 Scientific Assembly and Annual Meeting, November 27 - December 2, 2005 ,Chicago IL. http://archive.rsna.org/2005/4419442.html