+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Surgical treatment of children with necrotizing enterocolitis



Surgical treatment of children with necrotizing enterocolitis



Rozhledy V Chirurgii 81(2): 57-63



Necrotizing enterocolitis is an acute neonatal disease. It affects in particular premature neonates with a birth weight lower than 1500 g. Despite extensive research the etiology of the disease remains obscure. The majority of authors assume multifactorial causes. Research workers try to detect various laboratory and clinical factors which could serve as criteria for surgical intervention. The sensitivity and specificity of these tests and laboratory examinations detect the disease only in an advanced stage and in the stage of perforation of the gastrointestinal tract (GIT). The main surgical approach to the treatment of this disease remains laparotomy and resection of the necrotic portion of the gut with enterostomy. In a limited number of children resection of a portion of the necrotic gut with primary anastomosis is possible. In some very serious conditions and in infants with a birth weight below 1000 g peritoneal drainage and subsequent "second look" surgery should be sufficient. It is a disease with calls for a maximum individual approach and there are no accurate defined instructions for surgical treatment. The surgeon's experience and the standard of preoperative and postoperative care are decisive.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 047496381

Download citation: RISBibTeXText

PMID: 11925643


Related references

Brain magnetic resonance imaging in infants with surgical necrotizing enterocolitis or spontaneous intestinal perforation versus medical necrotizing enterocolitis. Journal of Pediatrics 164(2): 410, 2014

Surgical treatment of necrotizing enterocolitis. Deutsche Medizinische Wochenschrift 99(11): 509 Passim, 1974

A need for surgical treatment in necrotizing enterocolitis?. Zeitschrift für Kinderchirurgie 45(1): 46-49, 1990

Surgical treatment of necrotizing enterocolitis: when? how?. Acta Paediatrica . Supplement 396: 58-61, 1994

Neonatal necrotizing enterocolitis: surgical treatment. Revista Chilena de Pediatria 60(2): 79-84, 1989

Evaluation of the risk of the clinical-surgical and pathology study findings in newborns with necrotizing enterocolitis who have received surgical treatment. Cirugia Pediatrica 24(3): 165-170, 2011

Necrotizing enterocolitis: extent of disease and surgical treatment. Journal of Pediatric Surgery 34(7): 1096-1099, 1999

Results of surgical treatment of neonatal necrotizing enterocolitis. British Journal of Surgery 77(2): 146-148, 1990

Experience with surgical treatment of newborns with necrotizing enterocolitis. Vestnik Khirurgii Imeni I. I. Grekova 171(2): 58-60, 2012

Surgical treatment of necrotizing enterocolitis: suspicions and dilemmas. Acta Medica Croatica 59(4): 353-356, 2005

Nutritional care for the infants with necrotizing enterocolitis under non-surgical treatment. Nihon Rinsho. Japanese Journal of Clinical Medicine 49 Suppl: 407-411, 1991

Necrotizing enterocolitis (NEC) 2. Surgical treatment, complications, building up of nutrition. Kinderkrankenschwester 17(6): 248-250, 1998

Surgical treatment of necrotizing enterocolitis and the short bowel syndrome. Clinics in Perinatology 21(2): 365-387, 1994

Could clinical scores guide the surgical treatment of necrotizing enterocolitis?. Pediatric Surgery International 28(3): 271-276, 2012

Clinical analysis of surgical intervention in the treatment of necrotizing enterocolitis in neonates. Zhongguo Dang Dai Er Ke Za Zhi 14(12): 906-909, 2012