Necrotizing Enterocolitis as a Result of Cow's Milk Allergy?

Walther, Frans J.; Kootstra, G

doi:10.1055/s-2008-1059950

Cited by 5 publications

(7 citation statements)

References 2 publications

(2 reference statements)

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“…Faber et al reported a case of severe cow's milk allergic colitis resembling necrotizing colitis in a premature infant. Similar cases of NEC attributed to cow's milk allergy have been reported . These studies suggest that cow's milk allergy should be considered as a cause in cases of recurrent NEC or the occurrence of NEC in the absence of typical risk factors.…”

Section: Management Of En After Uncomplicated Necsupporting

confidence: 76%

“…Similar cases of NEC attributed to cow's milk allergy have been reported. 30,31 These studies suggest that cow's milk allergy should be considered as a cause in cases of recurrent NEC or the occurrence of NEC in the absence of typical risk factors. This also has implications in selecting the enteral feed post-NEC.…”

Section: Management Of En After Uncomplicated Necmentioning

confidence: 99%

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Nutrition Management of Necrotizing Enterocolitis

2018

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Necrotizing enterocolitis (NEC) is one of the most significant causes of morbidity and mortality among premature infants. The exact cause is considered multifactorial and related to gastrointestinal immaturity, inflammation and enteral feeding. The role of nutrition is vitally important in NEC. The main modifiable risk factor is the introduction and advancement of enteral feedings. After an infant has recovered from NEC, enteral feeds should be cautiously resumed to prevent injury from prolonged use of parenteral nutrition. The logistics of how, when, and what to feed are somewhat unclear and often depend on the severity of the disease. For patients with an enterostomy, refeeding the distal intestine with the small-intestinal ostomy output may improve bowel growth and prevent long-term complications.

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Section: Management Of En After Uncomplicated Necsupporting

confidence: 76%

Section: Management Of En After Uncomplicated Necmentioning

confidence: 99%

Nutrition Management of Necrotizing Enterocolitis

2018

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“…Reports on neonates with FA who develop secondary NEC are extremely rare [1] , [3] , [4] , [5] . It is necessary to be cognizant of this condition as the incidence of FA in neonates is increasing.…”

Section: Discussionmentioning

confidence: 99%

“…Progressive FA in the neonatal period may need to be clinically differentiated, especially in those with mechanical bowel obstruction [2] . Reports of FA in neonates who subsequently develop necrotizing enterocolitis (NEC) is extremely rare [1] , [3] , [4] , [5] . Furthermore, common risk factors for the development of NEC secondary to FA are unknown.…”

Section: Introductionmentioning

confidence: 99%

Aggressive gastrointestinal food allergy in neonates and its possible relationship to necrotizing enterocolitis

Suda

Yanai

Toma

et al. 2017

International Journal of Surgery Case Reports

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“… 12 Cow's milk allergy is well recognised as a significant cause of morbidity in formula-fed term and recently in preterm infants. 13 Several case reports have shown that cow’s milk protein allergy may be closely related to NEC, 14 15 and there is also evidence of in vitro sensitisation to cow's milk protein in peripheral blood mononuclear cells of preterm infants with NEC. 16 17 This suggests that cow’s milk intolerance should be evaluated when NEC occurs in case of absence of classical risk factors.…”

Section: Discussionmentioning

confidence: 99%

Use of extensively hydrolysed formula for refeeding neonates postnecrotising enterocolitis: a nationwide survey-based, cross-sectional study

et al. 2016

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ObjectiveTo evaluate the prevalence of and reasons for using extensively hydrolysed formulas (EHFs) of cow's milk proteins in the French neonatal units as well as the modality of their prescription for refeeding infants recovering from necrotising enterocolitis (NEC).MethodsA multicentre nationwide cross-sectional study using a questionnaire to address the prevalence of use and the reasons for prescribing EHF in hospitalised neonates and to examine the protocols and the actual reasons for their use for refeeding infants in recovery from NEC. The questionnaire was sent to only 1 senior neonatologist in each neonatal unit included in the study.ResultsMore than half of the French neonatal units participated in the survey. 91% of the surveyed units used EHF. Of 1969 infants hospitalised on the day the survey was run, 12% were fed on an EHF. 11% of the EHF prescriptions were due to previous NEC. The main reasons for using an EHF to feed infants post-NEC were the absence of human milk (75%) and surgical management of NEC (17%). When given, EHF was mainly prescribed for a period varying between 15 days and 3 months. None of the involved units continued using the EHF after 6 months of age. More than half of the surveyed units acknowledged hospitalising infants for the initiation of weaning EHF but only 21% of them tested these infants for cow's milk allergy.ConclusionsThe prevalence of EHF use in the French neonatal units is high. Refeeding infants post-NEC is one of the main reasons for such a high prevalence. The main incentive for using an EHF is the absence of human breast milk, either maternal or donor.

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Necrotizing Enterocolitis as a Result of Cow's Milk Allergy?

Cited by 5 publications

References 2 publications

Nutrition Management of Necrotizing Enterocolitis

Nutrition Management of Necrotizing Enterocolitis

Aggressive gastrointestinal food allergy in neonates and its possible relationship to necrotizing enterocolitis

Use of extensively hydrolysed formula for refeeding neonates postnecrotising enterocolitis: a nationwide survey-based, cross-sectional study

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