Necrotizing Enterocolitis

Sylvester, Karl G.; Liu, Gigi; Albanese, Craig T.

doi:10.1016/b978-0-323-07255-7.00094-5

Cited by 29 publications

(45 citation statements)

References 373 publications

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“…Exploration should not be undertaken until gangrene is present but should be performed before perforation occurs. Unfortunately, no combination of clinical examination or laboratory tests can diagnose early intestinal gangrene [1]. Therefore, there are controversies as regards indications for operation and optimal surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

“…From the laparotomy findings, the site and extent of intestinal necrosis and perforations were noted. On the basis of the extent of involvement, NEC was classified as unifocal, multifocal, or panintestinal [1]. NEC was unifocal if there was only one area of necrosis/single perforation present.…”

Section: Methodsmentioning

confidence: 99%

“…It is now the most common newborn surgical emergency and is associated with higher morbidity and mortality compared with all other gastrointestinal (GI) conditions requiring surgical intervention [1]. Patients with modified Bell's stage III NEC have evidence of bowel necrosis or perforation; such advanced disease requiring surgical intervention develops in up to 50% of infants with NEC [1].…”

Section: Introductionmentioning

confidence: 99%

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Surgical treatment of necrotizing enterocolitis

Ramaswamy¹,

Hegab²,

Mugheri³

et al. 2016

Annals of Pediatric Surgery

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Aim The aim of this study was to investigate our indications of laparotomy, surgical procedures and their results, and to compare our results with those of others. In necrotizing enterocolitis (NEC), indications of surgery, surgical strategy and results vary.Materials and methods This study was conducted at the regional tertiary care referral centre. The study design was a retrospective one. Case records of 24 patients with advanced NEC who underwent laparotomy over a 7-year period were analysed. Demographic data, clinical features, laboratory and skiagram findings, indication for surgery, operative findings, procedures performed, immediate surgery-related complications and postoperative survival were studied.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical treatment of necrotizing enterocolitis

Ramaswamy¹,

Hegab²,

Mugheri³

et al. 2016

Annals of Pediatric Surgery

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“…[4] Presence of PVG is fleeting and that is why it has low reported incidence of 10% to 30%, but has 61% incidence in NEC with pan-intestinal involvement. [5] In patients found to have intestinal perforation at surgery, only 63% of them had radiographic evidence of free air thus demonstrating, perforation can occur in high number of patients without evidence of pneumoperitoneum. Presence of pneumoperitoneum or PVG is among best indications of laparotomy.…”

Section: Portal Vein Gas In Necrotising Enterocolitismentioning

confidence: 99%

“…All patients with PVG who underwent laparotomy were found to have full-thickness bowel necrosis and 52% of them had pan-intestinal involvement. [5] Overall surgical mortality of patients with PVG is 54% and mortality of pan-intestinal NEC is 42%-100%.…”

Section: Portal Vein Gas In Necrotising Enterocolitismentioning

confidence: 99%

Portal Vein Gas in Necrotising Enterocolitis

Rajendran

Hassan

2017

J Neonat Surg

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How to cite: Rajendran R, Hassan HAK. Portal vein gas in necrotising enterocolitis. J Neonatal Surg. 2017; 6:83. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. A 28-day-old boy developed abdominal distension, blood-stained gastric drainage, apnoea and hypotension. Born to G7P4A3 mother at 36w gestation, his birthweight was 1450g. He was treated in the immediate postnatal period for respiratory distress due to hyaline membrane disease with surfactant and mechanical ventilation. He was then treated for probable sepsis. On 21st day of birth he was found to have conjugated hyperbilirubinemia, intermittent pale stools and intermittent light-yellow stools, lethargy and hepatomegaly. C-reactive protein was positive. Echocardiogram showed small patent ductus arteriosus. He was given nasogastric tube-feeds of formula milk in the last 3 days. On examination, abdomen was uniformly distended and soft without erythema, oedema, tenderness or mass. Abdominal skiagram showed dilated bowel loops and portal vein gas (PVG), indirect evidence of free air and fluid in peritoneal cavity (Fig.1). DISCUSSIONClinically and radiologically, our patient had modified Bell's stage IIIB NEC. Presence of PVG is very prominent in radiographs, but pneumoperitoneum, the hallmark of stage IIIB was, not typical. Portal vein gas represents gas distributed through fine radicles of portal vein. The bacterial translocation and production of hydrogen gas into the bowel wall cause pneumatosis intestinalis. This gas can embolize from CLINICAL IMAGE

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Miscellaneous Diseases of the Small Intestine

Levin¹

2015

Yamada' S Textbook of Gastroenterology

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Necrotizing Enterocolitis

Cited by 29 publications

References 373 publications

Surgical treatment of necrotizing enterocolitis

Surgical treatment of necrotizing enterocolitis

Portal Vein Gas in Necrotising Enterocolitis

Miscellaneous Diseases of the Small Intestine

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