Publication Date

4-1-2024

Journal

eJIFCC - The electronic Journal of the International Federation of Clinical Chemistry and Laboratory Medicine

PMID

38706735

PMCID

PMC11063787

PubMedCentral® Posted Date

4-11-2024

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

Keywords

biliary atresia, conjugated bilirubin, cord blood

Abstract

Early detection of biliary atresia is crucial for timely intervention and improved outcomes in infants with elevated conjugated bilirubin levels. This study aims to investigate the viability of cord blood gas analysis as a novel method for assessing conjugated bilirubin levels. Infants with high heel stick levels also showed elevated cord blood bilirubin levels, indicating that cord blood testing could replace the need for repeat heel stick tests, especially benefiting low birth weight infants. Ongoing research, including larger cohorts and alternative bilirubin measurement methods, will further validate this innovative screening approach. Infants with biliary atresia have high conjugated bilirubin levels at birth. As a result, infants can be screened with newborn conjugated bilirubin measurements, to allow for early detection, timely treatment, and the best chances of delaying or even avoiding the need for a liver transplant [1]. An important limitation of screening, however, is that infants must undergo a separate blood test. To overcome this limitation, we investigated whether conjugated bilirubin measurements from cord blood could be useful.

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