{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T20:32:28Z","timestamp":1788381148169,"version":"build-2803163510"},"reference-count":18,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,10,13]],"date-time":"2020-10-13T00:00:00Z","timestamp":1602547200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009360","name":"King\u2019s College London","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009360","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Pediatrics"],"published-print":{"date-parts":[[2020,10,13]]},"abstract":"<jats:p>Background. Bilious vomiting in the newborn is common and requires urgent attention to exclude malrotation. The proportion of neonates with surgical abnormalities, however, is small, and there are other causes. Study Objectives. We reviewed our experience of infants with bilious vomiting to demonstrate the importance of input from the tertiary surgical and medical team to arrive at the correct diagnosis. Design. Admissions with bilious vomiting\/aspirates of term born infants over a three-year period to a tertiary medical and surgical unit were reviewed. Results. During the study period, 48 infants were admitted with bilious vomiting. Forty-five infants had upper gastrointestinal (UGI) contrast studies, and only six had an abnormal study: four had malrotation and two had Hirschsprung\u2019s disease. Of the infants with a normal UGI study, no cause was identified in 20 cases, 13 infants were treated for sepsis, one had a meconium plug, one an ovarian cyst, and two infants were polycythaemic. One infant was diagnosed with bilateral polymicrogyria (PMG) on brain MRI and another was found to have hypochondroplasia FGFR3 skeletal dysplasia. Conclusion. Neonates with bilious vomiting may have a variety of underlying diagnoses and need to be referred to a tertiary surgical and medical centre to ensure appropriate diagnosis is made.<\/jats:p>","DOI":"10.1155\/2020\/8824556","type":"journal-article","created":{"date-parts":[[2020,10,13]],"date-time":"2020-10-13T19:50:21Z","timestamp":1602618621000},"page":"1-3","source":"Crossref","is-referenced-by-count":3,"title":["Bilious Vomiting in the Newborn: A Three-Year Experience in a Tertiary Medical and Surgical Centre"],"prefix":"10.1155","volume":"2020","author":[{"given":"Rebecca A","family":"Lee","sequence":"first","affiliation":[{"name":"Neonatal Intensive Care Centre, King\u2019s College Hospital NHS Foundation Trust, London SE5 9RS, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodore","family":"Dassios","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Centre, King\u2019s College Hospital NHS Foundation Trust, London SE5 9RS, UK"},{"name":"Department of Women and Children\u2019s Health, School of Life Course Sciences, Faculty of Life Science and Medicine, King\u2019s College London, London SE5 9RS, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravindra","family":"Bhat","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Centre, King\u2019s College Hospital NHS Foundation Trust, London SE5 9RS, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8672-5349","authenticated-orcid":true,"given":"Anne","family":"Greenough","sequence":"additional","affiliation":[{"name":"Department of Women and Children\u2019s Health, School of Life Course Sciences, Faculty of Life Science and Medicine, King\u2019s College London, London SE5 9RS, UK"},{"name":"Asthma UK Centre for Allergic Mechanisms in Asthma, King\u2019s College London, London SE1 9RT, UK"},{"name":"NIHR Biomedical Research Centre based at Guy\u2019s, St Thomas\u2019 NHS Foundation Trust, King\u2019s College London, London SE1 9RT, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-016-3877-2"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2014-307251"},{"key":"3","first-page":"142","article-title":"Neonatal gastrointestinal obstruction","volume-title":"Neonatal Surgery","author":"T. 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