African Journal of Paediatric Surgery

: 2013  |  Volume : 10  |  Issue : 4  |  Page : 394-

Total bilirubin in nasogastric aspirate

Hai Err1, Viroj Wiwanitkit2,  
1 Sanitation 1 Medical Academic Center, Bangkhae, Bangkok, Thailand
2 Faculty of Medicine, University of Nis, Nis, Serbia

Correspondence Address:
Hai Err
Sanitation 1 Medical Academic Center, Bangkhae, Bangkok

How to cite this article:
Err H, Wiwanitkit V. Total bilirubin in nasogastric aspirate.Afr J Paediatr Surg 2013;10:394-394

How to cite this URL:
Err H, Wiwanitkit V. Total bilirubin in nasogastric aspirate. Afr J Paediatr Surg [serial online] 2013 [cited 2020 Oct 27 ];10:394-394
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The recent report on total bilirubin in nasogastric aspirate is very interesting. [1] In a study by Miyano et al. reported that this test is "useful as a reliable objective quantitative marker of gastrointestinal motility post-operatively". [1] In fact, this new though is very interesting and should be applaudable. However, there are many considerations in laboratory medicine to be addressed. First, nasogastric aspirate has several compositions and those compositions might disturb the biochemical reaction in measurement of total bilirubin. In addition, the specimen preparation for measurement, clearance of contamination, seems to be difficult for automated clinical chemistry analyser use. Second, source of bilirubin can also be from haemolysis. If there is concurrent haemolysis, such as underlying haemoglobin defect, the aberrant result can be expected.


1Miyano G, Nakamura H, Takahashi T, Lane GJ, Yamataka A. Total bilirubin in nasogastric aspirates: A potential new indicator of postoperative gastrointestinal recovery. Afr J Paediatr Surg 2013;10:243-5.