Journal
SEMINARS IN PEDIATRIC SURGERY
Volume 22, Issue 4, Pages 185-189Publisher
ELSEVIER SCIENCE INC
DOI: 10.1053/j.sempedsurg.2013.10.006
Keywords
Neonatal; Liver; Physiology; Physiologic jaundice; Glucose; Metabolism; Fatty acid; Bile synthesis; Biotransformation
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In the neonate, the liver is relatively immature and undergoes several changes in its functional capacity during the early postnatal period. The essential liver functions can be classified into three categories: metabolism, detoxification, and bile synthesis. In general, the immature liver function has limited consequences on the healthy term neonate. However, preterm neonates are particularly susceptible to the effects of the immature liver function placing them at risk of hypoglycemia, hyperbilirubinemia, cholestasis, bleeding, and impaired drug metabolism. An appreciation of the dynamic changes in liver function during the neonatal period is essential for successful management of neonates who require medical and surgical interventions. This review will focus on the neonatal liver function as well as the changes that the liver undergoes as it matures. (C) 2013 Elsevier Inc. All rights reserved.
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