Two Cases of Upper Gastrointestinal Bleeding in Healthy Full Term Neonates.

Lee,  Ji Young; Lee,  Jung Hyun; Park,  Jae Ok; Chun,  Chung Sik

Case Report

Journal of the Korean Society of Neonatology 2006;13(2):278-282.
Published online November 1, 2006.

Two Cases of Upper Gastrointestinal Bleeding in Healthy Full Term Neonates.

Ji Young Lee, Jung Hyun Lee, Jae Ok Park, Chung Sik Chun

¹Department of Pediatrics, College of Medicine, The Catholic University, Seoul, Korea. ljhped@catholic.ac.kr
²Department of Pediatrics, College of Medicine, Soonchunhyang University, Bucheon, Korea.

건강한 만삭아에서 상부 위장관 출혈 2례

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Abstract

Upper gastrointestinal bleeding (UGIB) secondary to gastritis or peptic ulcer is unusual in neonates and possibly related to several risk factors such as intracranial hemorrhage, intracranial hypertension, congenital heart disease, perinatal asphyxia, respiratory failure and hypovolemia. It is even more unusual that healthy full term neonates get UGIB. Upper gastrointestinal endoscopy is indicated in neonates with persistent UGIB to identify the cause and location of bleeding. We report two cases of UGIB successfully treated with injection of epinephrine by means of endoscopy in healthy full term neonates. One infant had duodenal ulcer and the other had hemorrhagic gastritis.

Key Words: Upper gastrointestinal bleeding; Endoscopy; Healthy full term neonate