DIFFERENCES OF BIRTH WEIGHT AND ONSET OF ACHOLIC STOOL BETWEEN EXTRAHEPATIC AND INTRAHEPATIC CHOLESTASIS

Background: Biliary atresia (extrahepatic cholestasis) and neonatal hepatitis (intrahepatic cholestasis) are two main causes of cholestasis. It is important to distinguish the type of cholestasis for determine management. Patient with  intrahepatic cholestasis have birth weight lower than extrahepat...

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Main Authors: Bagus Setyoboedi, Lasmauli Situmorang, Rendi Aji Prihaningtyas, Sjamsul Arief
Format: Article
Language:English
Published: Universitas Airlangga 2024-04-01
Series:Indonesian Midwifery and Health Sciences Journal
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Online Access:https://e-journal.unair.ac.id/IMHSJ/article/view/49081
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author Bagus Setyoboedi
Lasmauli Situmorang
Rendi Aji Prihaningtyas
Sjamsul Arief
author_facet Bagus Setyoboedi
Lasmauli Situmorang
Rendi Aji Prihaningtyas
Sjamsul Arief
author_sort Bagus Setyoboedi
collection DOAJ
description Background: Biliary atresia (extrahepatic cholestasis) and neonatal hepatitis (intrahepatic cholestasis) are two main causes of cholestasis. It is important to distinguish the type of cholestasis for determine management. Patient with  intrahepatic cholestasis have birth weight lower than extrahepatic cholestasis. Onset of acholic stool in extrahepatic cholestasis usually appear in 15-30 days of first life. The aim of the study  to identify differences of birth weight and onset of acholic stool between the type of cholestasis. Method: A retrospective study on cholestasis children aged under 2 years was conducted at Dr. Soetomo General Academic Hospital from January 2012 to December 2016. A thorough history of birth weight and onset of acholic stool were undertaken. Based on histopatology liver biopsy patients were classified into twogroups: I (extrahepatic cholestasis) and II (intrahepatic cholestasis). Result: Statistical analysis of Mann Whitney U was used with p<0.05 being significant. A total of 84 children were included, 55% were male. 40 children suffered from extrahepatic cholestasis (mean age 4.8 ± 2.6 months old) and 44 children suffered from intrahepatic cholestasis (mean age 2.9 ± SD 3.8 months old). The mean birth weight between extrahepatic and intrahepatic cholestasis were 2813 ± 704 gram vs 2717 ± 577 gram) (p=0.29). The mean onset of acholic stool between extrahepatic and intrahepatic cholestasis were 43.0 ± 60.6 days vs 26.6 ± 39.7 days (p=0.27). Conclusion : There is no difference of birth weight and onset of acholic stool between extrahepatic and intrahepatic cholestasis.
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spelling doaj-art-19923ed2772a41a98a398618879546bf2025-01-09T05:54:22ZengUniversitas AirlanggaIndonesian Midwifery and Health Sciences Journal2656-78062024-04-01829310110.20473/imhsj.v8i2.2024.93-10147191DIFFERENCES OF BIRTH WEIGHT AND ONSET OF ACHOLIC STOOL BETWEEN EXTRAHEPATIC AND INTRAHEPATIC CHOLESTASISBagus Setyoboedi0Lasmauli SitumorangRendi Aji PrihaningtyasSjamsul AriefAirlangga UniversityBackground: Biliary atresia (extrahepatic cholestasis) and neonatal hepatitis (intrahepatic cholestasis) are two main causes of cholestasis. It is important to distinguish the type of cholestasis for determine management. Patient with  intrahepatic cholestasis have birth weight lower than extrahepatic cholestasis. Onset of acholic stool in extrahepatic cholestasis usually appear in 15-30 days of first life. The aim of the study  to identify differences of birth weight and onset of acholic stool between the type of cholestasis. Method: A retrospective study on cholestasis children aged under 2 years was conducted at Dr. Soetomo General Academic Hospital from January 2012 to December 2016. A thorough history of birth weight and onset of acholic stool were undertaken. Based on histopatology liver biopsy patients were classified into twogroups: I (extrahepatic cholestasis) and II (intrahepatic cholestasis). Result: Statistical analysis of Mann Whitney U was used with p<0.05 being significant. A total of 84 children were included, 55% were male. 40 children suffered from extrahepatic cholestasis (mean age 4.8 ± 2.6 months old) and 44 children suffered from intrahepatic cholestasis (mean age 2.9 ± SD 3.8 months old). The mean birth weight between extrahepatic and intrahepatic cholestasis were 2813 ± 704 gram vs 2717 ± 577 gram) (p=0.29). The mean onset of acholic stool between extrahepatic and intrahepatic cholestasis were 43.0 ± 60.6 days vs 26.6 ± 39.7 days (p=0.27). Conclusion : There is no difference of birth weight and onset of acholic stool between extrahepatic and intrahepatic cholestasis.https://e-journal.unair.ac.id/IMHSJ/article/view/49081acholic stoolbirth weightchildrenextrahepatic cholestasisintrahepatic cholestasis
spellingShingle Bagus Setyoboedi
Lasmauli Situmorang
Rendi Aji Prihaningtyas
Sjamsul Arief
DIFFERENCES OF BIRTH WEIGHT AND ONSET OF ACHOLIC STOOL BETWEEN EXTRAHEPATIC AND INTRAHEPATIC CHOLESTASIS
Indonesian Midwifery and Health Sciences Journal
acholic stool
birth weight
children
extrahepatic cholestasis
intrahepatic cholestasis
title DIFFERENCES OF BIRTH WEIGHT AND ONSET OF ACHOLIC STOOL BETWEEN EXTRAHEPATIC AND INTRAHEPATIC CHOLESTASIS
title_full DIFFERENCES OF BIRTH WEIGHT AND ONSET OF ACHOLIC STOOL BETWEEN EXTRAHEPATIC AND INTRAHEPATIC CHOLESTASIS
title_fullStr DIFFERENCES OF BIRTH WEIGHT AND ONSET OF ACHOLIC STOOL BETWEEN EXTRAHEPATIC AND INTRAHEPATIC CHOLESTASIS
title_full_unstemmed DIFFERENCES OF BIRTH WEIGHT AND ONSET OF ACHOLIC STOOL BETWEEN EXTRAHEPATIC AND INTRAHEPATIC CHOLESTASIS
title_short DIFFERENCES OF BIRTH WEIGHT AND ONSET OF ACHOLIC STOOL BETWEEN EXTRAHEPATIC AND INTRAHEPATIC CHOLESTASIS
title_sort differences of birth weight and onset of acholic stool between extrahepatic and intrahepatic cholestasis
topic acholic stool
birth weight
children
extrahepatic cholestasis
intrahepatic cholestasis
url https://e-journal.unair.ac.id/IMHSJ/article/view/49081
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AT lasmaulisitumorang differencesofbirthweightandonsetofacholicstoolbetweenextrahepaticandintrahepaticcholestasis
AT rendiajiprihaningtyas differencesofbirthweightandonsetofacholicstoolbetweenextrahepaticandintrahepaticcholestasis
AT sjamsularief differencesofbirthweightandonsetofacholicstoolbetweenextrahepaticandintrahepaticcholestasis