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Bilious emesis

MedGen UID:
534655
•Concept ID:
C0232599
•
Finding
Synonyms: Bilious vomiting; Vomiting bile
SNOMED CT: Bilious vomiting (71419002); Vomiting bile (71419002); Bilious emesis (71419002)
 
HPO: HP:0034754

Definition

Vomiting whereby the vomit has the color of bile, yellowish-green. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVBilious emesis

Professional guidelines

PubMed

IMPOWER: a national patient-generated registry for intestinal malrotation exploring diagnosis, treatment, and surgical outcomes.
Martinez SA, Fligor SC, Tsikis S, Short M, Corcoran KE, Rogers A, Gura KM, Puder M
Orphanet J Rare Dis 2023 May 11;18(1):113. doi: 10.1186/s13023-023-02722-5. PMID: 37170358Free PMC Article
Diagnosis and management of intestinal rotational abnormalities with or without volvulus in the pediatric population.
Svetanoff WJ, Srivatsa S, Diefenbach K, Nwomeh BC
Semin Pediatr Surg 2022 Feb;31(1):151141. Epub 2022 Feb 18 doi: 10.1016/j.sempedsurg.2022.151141. PMID: 35305800
ACR Appropriateness Criteria® Vomiting in Infants.
Expert Panel on Pediatric Imaging, Alazraki AL, Rigsby CK, Iyer RS, Bardo DME, Brown BP, Chan SS, Chandra T, Dietrich A, Falcone RA Jr, Garber MD, Gill AE, Levin TL, Moore MM, Nguyen JC, Shet NS, Squires JH, Trout AT, Karmazyn B
J Am Coll Radiol 2020 Nov;17(11S):S505-S515. doi: 10.1016/j.jacr.2020.09.002. PMID: 33153561

Recent clinical studies

Etiology

Malrotation in Adult and Adolescent Patients.
Spencer BL, Lotakis DM, Imel S, Hirschl RB, Gadepalli SK
J Gastrointest Surg 2023 Nov;27(11):2557-2559. Epub 2023 May 31 doi: 10.1007/s11605-023-05718-5. PMID: 37259017
Diagnosis and management of intestinal rotational abnormalities with or without volvulus in the pediatric population.
Svetanoff WJ, Srivatsa S, Diefenbach K, Nwomeh BC
Semin Pediatr Surg 2022 Feb;31(1):151141. Epub 2022 Feb 18 doi: 10.1016/j.sempedsurg.2022.151141. PMID: 35305800
A role for abdominal ultrasound in discriminating suspected necrotizing enterocolitis in congenital heart disease patients.
Lazow SP, Tracy SA, Estroff JA, Parad RB, Castro-Aragon IM, Fujii AM, Staffa SJ, Zurakowski D, Chen C
Pediatr Surg Int 2022 Feb;38(2):225-233. Epub 2021 Sep 28 doi: 10.1007/s00383-021-05025-7. PMID: 34581859Free PMC Article
Variation in the Presentation of Intussusception by Age.
Kimia AA, Hadar PN, Williams S, Landschaft A, Monuteaux MC, Bachur RG
Pediatr Emerg Care 2020 Aug;36(8):372-377. doi: 10.1097/PEC.0000000000002179. PMID: 32658117
Bilious emesis in the pediatric emergency department: etiology and outcome.
Sadow KB, Atabaki SM, Johns CM, Chamberlain JM, Teach SJ
Clin Pediatr (Phila) 2002 Sep;41(7):475-9. doi: 10.1177/000992280204100704. PMID: 12365309

Diagnosis

Malrotation in Adult and Adolescent Patients.
Spencer BL, Lotakis DM, Imel S, Hirschl RB, Gadepalli SK
J Gastrointest Surg 2023 Nov;27(11):2557-2559. Epub 2023 May 31 doi: 10.1007/s11605-023-05718-5. PMID: 37259017
Surgical Emergencies in the Pediatric Office.
Midura D, Statter MB
Pediatr Rev 2022 Mar 1;43(3):148-159. doi: 10.1542/pir.2020-004916. PMID: 35229116
8-Day-old male infant with bilious emesis and hematochezia.
Adams K, Borkar D, Kaila R
Am J Emerg Med 2022 Apr;54:325.e1-325.e2. Epub 2021 Oct 9 doi: 10.1016/j.ajem.2021.10.006. PMID: 34654600
Vomiting.
Parashette KR, Croffie J
Pediatr Rev 2013 Jul;34(7):307-19; quiz 320-1. doi: 10.1542/pir.34-7-307. PMID: 23818085
Neonatal bowel obstruction.
Juang D, Snyder CL
Surg Clin North Am 2012 Jun;92(3):685-711, ix-x. Epub 2012 Apr 17 doi: 10.1016/j.suc.2012.03.008. PMID: 22595716

Therapy

Weekly Growth Hormone (Lonapegsomatropin) Causes Severe Transient Hyperglycemia in a Child with Obesity.
Alkhatib EH, Dauber A, Estrada DE, Majidi S
Horm Res Paediatr 2023;96(5):542-546. Epub 2023 Apr 4 doi: 10.1159/000530522. PMID: 37015214
Hemophagocytic lymphohistiocytosis presenting in a pediatric patient with near total colonic and small bowel aganglionosis: a case report.
Badal B, Wilsey MJ, Karjoo S
J Med Case Rep 2017 Aug 31;11(1):244. doi: 10.1186/s13256-017-1390-4. PMID: 28854959Free PMC Article
Evaluation of a pediatric fluoroscopy training module to improve performance of upper gastrointestinal procedures in neonates with bilious emesis.
Benya EC, Wyers MR, O'Brien EK
Pediatr Radiol 2016 Nov;46(12):1680-1683. Epub 2016 Aug 25 doi: 10.1007/s00247-016-3674-z. PMID: 27558686
Pseudomembranous colitis secondary to methicillin-resistant Staphylococcus aureus (MRSA).
Pressly KB, Hill E, Shah KJ
BMJ Case Rep 2016 May 10;2016 doi: 10.1136/bcr-2016-215225. PMID: 27165998Free PMC Article
Vomiting.
Parashette KR, Croffie J
Pediatr Rev 2013 Jul;34(7):307-19; quiz 320-1. doi: 10.1542/pir.34-7-307. PMID: 23818085

Prognosis

Variation in the Presentation of Intussusception by Age.
Kimia AA, Hadar PN, Williams S, Landschaft A, Monuteaux MC, Bachur RG
Pediatr Emerg Care 2020 Aug;36(8):372-377. doi: 10.1097/PEC.0000000000002179. PMID: 32658117
Identification of clinical parameters to increase the diagnostic yield of the non-emergent upper gastrointestinal series in pediatric outpatients.
Goldman-Yassen AE, Gross J, Novak I, Poletto E, Kim JS, Son JK, Levin TL
Pediatr Radiol 2019 Feb;49(2):162-167. Epub 2018 Oct 24 doi: 10.1007/s00247-018-4286-6. PMID: 30357445
Bilious vomiting does not rule out infantile hypertrophic pyloric stenosis.
Piroutek MJ, Brown L, Thorp AW
Clin Pediatr (Phila) 2012 Mar;51(3):214-8. Epub 2011 Dec 12 doi: 10.1177/0009922811431159. PMID: 22166750
Atresia of the jejunum and ileum: what is the difference?
Tongsin A, Anuntkosol M, Niramis R
J Med Assoc Thai 2008 Oct;91 Suppl 3:S85-9. PMID: 19253501
Perinatal intussusception in premature infants.
Mooney DP, Steinthorsson G, Shorter NA
J Pediatr Surg 1996 May;31(5):695-7. doi: 10.1016/s0022-3468(96)90676-4. PMID: 8861483

Clinical prediction guides

Variation in the Presentation of Intussusception by Age.
Kimia AA, Hadar PN, Williams S, Landschaft A, Monuteaux MC, Bachur RG
Pediatr Emerg Care 2020 Aug;36(8):372-377. doi: 10.1097/PEC.0000000000002179. PMID: 32658117
Identification of clinical parameters to increase the diagnostic yield of the non-emergent upper gastrointestinal series in pediatric outpatients.
Goldman-Yassen AE, Gross J, Novak I, Poletto E, Kim JS, Son JK, Levin TL
Pediatr Radiol 2019 Feb;49(2):162-167. Epub 2018 Oct 24 doi: 10.1007/s00247-018-4286-6. PMID: 30357445
Superior mesenteric artery (Wilkie's) syndrome: a rare cause of upper gastrointestinal system obstruction.
Oguz A, Uslukaya O, Ülger BV, Turkoglu A, Bahadır MV, Bozdag Z, Böyük A, Göya C
Acta Chir Belg 2016 Apr;116(2):81-8. doi: 10.1080/00015458.2016.1139830. PMID: 27385294
Upper gastrointestinal fluoroscopic simulator for neonates with bilious emesis.
Benya EC, Wyers MR, O'Brien EK, Nandhan V, Adler MD
Pediatr Radiol 2015 Aug;45(9):1413-6. Epub 2015 Mar 22 doi: 10.1007/s00247-015-3330-z. PMID: 25796384
Bilious emesis in the pediatric emergency department: etiology and outcome.
Sadow KB, Atabaki SM, Johns CM, Chamberlain JM, Teach SJ
Clin Pediatr (Phila) 2002 Sep;41(7):475-9. doi: 10.1177/000992280204100704. PMID: 12365309

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