Transcutaneous Bilirubin Measurements in Neonates Post Phototherapy
JaundiceNeonatalCan transcutaneous bilirubin (TcB) measurements be utilised to assess rebound hyperbilirubinaemia following phototherapy in neonates?
Advanced Endoscopy During COVID-19
CholangitisSecondary Biliary5 moreIn this study, investigators aim to explore the status of advanced endoscopy in different endoscopy units all over the world.
Efficacy and Safety of Plastic, Covered and Uncovered Self-expandable Metal Stents in the Treatment...
Common Bile Duct StrictureJaundice; MalignantThe aim of the study is to evaluate the efficacy and safety of the various types of stents available for biliary drainage in patients with neoplastic stenosis of the common bile duct and to evaluate the adherence to the current guidelines available.
Cholangioscopic Assessment of Occluded Biliary Stent and Role of Biliary Radiofrequency Ablation...
Obstructive JaundiceCholangitisPrimary Objective: To document state-of- the-art multi-modality management of occluded biliary SEMS aiming to minimize number of reinterventions while providing symptom relief without procedure-related serious adverse events. NOTE: This study will be hypothesis-generating for an anticipated randomized controlled study (RCT) to compare outcomes of placement of a plastic stent inside the occluded SEMS to outcomes of the proposed multi-modality approach.
Prediction of Jaundice in Term Infants
InfantNewborn1 moreThe objective of this study was to describe total bilirubin production in healthy term infants as a means of understanding the differences in jaundice pigment production associated with various common clinical circumstances.
Outcome of Carbon Dioxide Versus Air Insufflations During Endoscopic Retrograde Cholangiopancreatography...
Obstructive JaundiceTo assess the safety and efficacy of CO2 insufflations during ERCP Primary objective: To assess the patient's symptoms, abdominal pain and abdominal distension post procedure (ERCP) in the study group. Secondary objective: Endoscopist: To assess the adequacy of bowel distension for adequate luminal visualization To assess the peristaltic movement during the ERCP Anesthetist: To measure the PCO2 level in patient post procedure. To assess the amount of sedation required during the procedure. To assess saturation and vital signs through out the procedure. To assess requirement of buscopan.
Effect of Benadryl Sedation During ERCP or EUS
Gallbladder DiseaseGallstones3 moreThe purpose of the study is to determine if adding Benadryl improves sedation for patients scheduled to undergo ERCP or EUS procedures.
The Effect of Ursodeoxycholic Acid in Liver Functional Restoration of Patients With Obstructive...
Obstructive JaundiceABSTRACT: In patients with obstructive jaundice, multi-organ dysfunction may develop. The aim of this study is to evaluate the effect of ursodeoxycholic acid on liver functional restoration on patients with obstructive jaundice after surgical or endoscopic treatment. Patients with obstructive jaundice will be divided into two groups: (A) test group in which will be administered ursodeoxycholic acid twenty-four hours after endoscopic or surgical procedure and will last fourteen days, and (B) control group. Serum-testing will include determination of bilirubin, alanine transaminase, aspartate transaminase, gama-glutamyl transpeptidase, alkaline phosphatase, albumin, and cholesterol levels. These parameters will be determined one day prior endoscopic or surgical procedure, and on the third, fifth, seventh, tenth, twelfth and fourteenth days after endoscopic or surgical intervention. Our hypothesis is that patients with obstructive jaundice under treatment with ursodeoxycholic acid will have better outcome than patients in control group.
The Effect of Breastfeeding Support on Hospitalization Due to Jaundice
HyperbilirubinemiaNeonatal2 moreNeonatal jaundice is the most common reason for rehospitalization after postnatal discharge. Jaundice due to breastfeeding failure is an important subtype of pathological neonatal jaundice. Typically, it occurs with lactation failure, which results in dehydration (reducing urine output), significant weight loss (>10% of birth weight) and sometimes hypernatremia, during the first postnatal week. Jaundice caused by breastfeeding failure is observed in one third (31.8%) of total cases of pathological neonatal jaundice requiring rehospitalization. Jaundice lasts for an average of 6.8 days and the length of hospital stay takes up to 3 days. Jaundice due to breastfeeding failure requires focused efforts for a program structured with breastfeeding education and special breastfeeding support. This support causes the role of nurses to become even more important. The aim of this study is to investigate the effect of support provided for breastfeeding and the feeding of infants' with breast milk on hospitalization due to jaundice. Research Hypotheses: H0: The support provided for breastfeeding and the feeding of infants' with breast milk has no effect on hospitalization due to jaundice. H1: The support provided for breastfeeding and the feeding of infants' with breast milk affects the consequences of hospitalization due to jaundice.
Measurement of Carboxyhemoglobin by Gas Chromatography as an Index of Hemolysis
ABO IncompatibilityHemolytic Disease of Newborn2 moreThe purpose of this research study is to more accurately measure the amount of true red blood cell breakdown (hemolysis) in newborn babies with potentially problematic blood type mismatch with their mothers (ABO incompatibility), and to examine how the true level of red blood cell destruction relates to other laboratory tests obtained in newborns with jaundice. A better understanding of the true amount of red blood cell destruction that is caused by blood type mismatch, as well as how it relates with other laboratory tests ordered for ABO incompatibility and red blood cell destruction, would help avoid unnecessary testing, treatment and prolonged hospital stays in such babies.