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SURGICAL JAUNDICE IN INFANTS AND CHILDREN

SURGICAL JAUNDICE IN INFANTS AND CHILDREN Abstract THE PROBLEM of differentiating jaundice which is amenable to surgery from that which is not arises much less frequently in infants and children than in adults. The common causes of extrahepatic biliary obstruction in adults are very rare in children under 12 yr. of age. However, there are certain conditions which are peculiar to the younger age group that are frequently forgotten by those not working constantly with children. We have studied 84 cases of jaundice in children under the age of 12 yr. seen in University Hospitals of Cleveland in the past 20 years. Tables 1 and 2 show the breakdown of these cases into surgical and medical groups. The congenital hemolytic anemias with jaundice have been included in the surgical group because they are amenable to operative therapy. The so-called physiological jaundice of the newborn has been excluded, although most authors feel that this is not necessarily a References 1. Waugh, T. R.; Merchant, F. T., and Maughan, G. B.: Blood Studies on the Newborn , Am. J. M. Sc. 199:9, 1940.Crossref 2. Diamond, L. K.; Allen, F. H., Jr., and Thomas, W. O.: Erythroblastosis Fetalis , New England J. Med. 244:39, 1951.Crossref 3. Bachhuber, C. A., and Gilbert, A. E.: Four Hundred Consecutive Cases of Jaundice , Am. J. Surg. 76:144, 1948.Crossref 4. Ladd, W. E., and Gross, R. E.: Abdominal Surgery of Infancy and Childhood , Philadelphia, W. B. Saunders Company, 1941. 5. Woolley, P. U., Jr.: Clinical Conference , J. Pediat. 33:509, 1948.Crossref 6. Shallow, T. A.; Eger. S. A., and Wagner, F. B.: Congenital Cystic Dilatation of the Common Duct , Ann. Surg. 117:355, 1943.Crossref 7. Heringman, E. C., and Waiken, D.: Cholecystitis and Cholelithiasis in the Young , Am. J. Surg. 74:27, 1947.Crossref 8. Cole, W. H.; Reynolds, J. T., and Ireneus, C., Jr.: Strictures of the Common Dust , Ann. Surg. 128:332, 1948.Crossref 9. Thannhauser, S. J.: Hyperlipemia , in Christian, H. A., and MacKenzie, J.: Oxford Medicine , New York, Oxford University Press, 1921, Vol. 4. 10. Collett, R. W., and Kennedy, R. L. J.: Chronic Relapsing Pancreatitis Associated with Hyperlipemia in an 8 Year Old Boy , Proc. Staff Meet., Mayo Clin. 23:158, 1948. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

SURGICAL JAUNDICE IN INFANTS AND CHILDREN

A.M.A. Archives Surgery , Volume 63 (4) – Oct 1, 1951

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Publisher
American Medical Association
Copyright
Copyright © 1951 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1951.01250040539014
Publisher site
See Article on Publisher Site

Abstract

Abstract THE PROBLEM of differentiating jaundice which is amenable to surgery from that which is not arises much less frequently in infants and children than in adults. The common causes of extrahepatic biliary obstruction in adults are very rare in children under 12 yr. of age. However, there are certain conditions which are peculiar to the younger age group that are frequently forgotten by those not working constantly with children. We have studied 84 cases of jaundice in children under the age of 12 yr. seen in University Hospitals of Cleveland in the past 20 years. Tables 1 and 2 show the breakdown of these cases into surgical and medical groups. The congenital hemolytic anemias with jaundice have been included in the surgical group because they are amenable to operative therapy. The so-called physiological jaundice of the newborn has been excluded, although most authors feel that this is not necessarily a References 1. Waugh, T. R.; Merchant, F. T., and Maughan, G. B.: Blood Studies on the Newborn , Am. J. M. Sc. 199:9, 1940.Crossref 2. Diamond, L. K.; Allen, F. H., Jr., and Thomas, W. O.: Erythroblastosis Fetalis , New England J. Med. 244:39, 1951.Crossref 3. Bachhuber, C. A., and Gilbert, A. E.: Four Hundred Consecutive Cases of Jaundice , Am. J. Surg. 76:144, 1948.Crossref 4. Ladd, W. E., and Gross, R. E.: Abdominal Surgery of Infancy and Childhood , Philadelphia, W. B. Saunders Company, 1941. 5. Woolley, P. U., Jr.: Clinical Conference , J. Pediat. 33:509, 1948.Crossref 6. Shallow, T. A.; Eger. S. A., and Wagner, F. B.: Congenital Cystic Dilatation of the Common Duct , Ann. Surg. 117:355, 1943.Crossref 7. Heringman, E. C., and Waiken, D.: Cholecystitis and Cholelithiasis in the Young , Am. J. Surg. 74:27, 1947.Crossref 8. Cole, W. H.; Reynolds, J. T., and Ireneus, C., Jr.: Strictures of the Common Dust , Ann. Surg. 128:332, 1948.Crossref 9. Thannhauser, S. J.: Hyperlipemia , in Christian, H. A., and MacKenzie, J.: Oxford Medicine , New York, Oxford University Press, 1921, Vol. 4. 10. Collett, R. W., and Kennedy, R. L. J.: Chronic Relapsing Pancreatitis Associated with Hyperlipemia in an 8 Year Old Boy , Proc. Staff Meet., Mayo Clin. 23:158, 1948.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Oct 1, 1951

References