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Atresia bilier detection and Vitamin K1 administration in normal

baby and cholestasis to prevent vit K deficiency bleeding:

Indonesian experience

Fatima Safira Alatas,1 Toshiharu Matsuura,1 Makoto Hayashida,1 Isamu Saeki,1

Hanifah Oswari,2 Badriul Hegar2 , Tomoaki Taguchi1

1 Department of Pediatric Surgery, Reproductive and Developmental Medicine,

Graduate School of Medical Science Kyushu University, Fukuoka, Japan.

2 Department of Child-Health, University of Indonesia, Jakarta, Indonesia.

The Ministry of Health Republic of Indonesia based some studies had issued some policies

and recommendations. One of them are vitamin K1 administrations for newborn babies and

management of hyperbilirubinemia .

Two to 6 cases of Vitamin K Deficiency Bleeding (VKDB) yearly were reported

during 1990-2000 from hospital in Indonesia. Since 2003 Vitamin K1 1 mg intramuscularly

(i.m) administration to all newborn babies has been recommended. In 2007 a study from

Jakarta showed that intracranial hemorrhage (ICH) only found in 1 patient among 62 biliary

atresia (BA) patients.

The Coordinating Board of Indonesian Pediatric Gastroenterology (BKGAI) also

recommends examination of bilirubin fractions in full-term infants with prolonged jaundice

by the age of 14 days, followed by hepatobiliary ultrasound and liver biopsy in selected cases.

Therefore the diagnosis could be established before 1 month old and Kasai Procedure can be

done before the development of cirrhosis.

In conclusion, 1) vitamin K1 administration i.m to all newborn babies can prevent

ICH even in BA patients; 2) a systematic health examination at 14 days old can detect BA

before 1 month old.

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