Title: Emergency laparotomy for necrotizing enterocolitis in a newborn
Authors: Dr Manvi Katoch, Dr Tanvi Katoch
DOI: https://dx.doi.org/10.18535/jmscr/v9i8.20
Abstract
Necrotizing enterocolitis (NEC) is a major cause of morbidity and mortality in NICU survivors. It is predominantly seen in premature formula fed infants. The symptoms may include fever, lethargy, abdominal distension, nausea, vomiting, bloody stools and poor feeding. The mainstay of treatment is discontinuation of oral feeds, nasogastric decompression, with IV feeds and antibiotics along with supportive therapy. Here, we present a case report of a very low birth weight (VLBW) premature infant with NEC.
Keywords: necrotizing enterocolitis (NEC), preterm child, abdominal distention.
References
- Maheshwari A, Corbin LL, Schelonka RL (2011) Neonatal necrotizing enterocolitis. Res Rep Neonatology 1: 39–53.
- Chu A, Hageman JR, Caplan MS (2013) Necrotizing Enterocolitis: predictive Markers and Preventive Strategies. N Reviews 14: 113-120.
- Anand RJ, Leaphart CL, Mollen KP, Hackam DJ (2007) The Role of The Intestinal Barrier In The Pathogenesis Of Necrotizing Enterocolitis. Shock 27: 124–133.
- Lin PW, Nasr TR, Stoll BJ (2008) Necrotizing enterocolitis: recent scientific advances in pathophysiology and prevention. Semin Perinatol 32: 70-82.
- Miyaki M, Steil F, Sarquis AL, Silva R (2007) Apresentaçãoclínica da Enterocolite Necrosante: diagnóstico e prognóstico. Pediatr 29: 192-199.
- Neves LAT, Mendes E, Neves DB (2009) Enterocolitenecrozante: um desafio para o recém-nascidoprematuro de muitobaixo peso. Rev Med Minas Gerais 19: 51-57.
- Neu J, Walker AW (2011) Necrotizing Enterocolitis. N Engl J Med 364: 255-264.
- Garg P (2007) Necrotising Enterocolitis: newer Insights. J Clin Diagn Res 1: 90-103.
- Souza JCK (2008) Influência da localização da Enterocolite Necrosantena Mortalidade de Recém Nascidos Submetidos à Laparotomia. (Tese de Doutorado). Porto Alegre: UFRGS.
- Jesse N, Neu J (2006) Necrotizing Enterocolitis: Relationship to Innate Immunity, Clinical Features, and Strategies for Prevention. Neoreviews 7: 143-150.
- Silva DCB, Quinello C, Pires DA, Pinto JR, Mattar AC, et al. (2008) Uso de fatores de crescimentoepidérmico e estimulador de colônias de granulócitosnaprevenção e tratamento da enterocolitenecrosante no recém-nascido. Rev Paul Pediatr 26: 170-175.
- Miyaki M, Steil F, Sarquis AL, Silva R (2007) Enterocolitenecrosanteemserviço com banco de leitehumano. Pediatr 29: 183-191.
- Bueno MB, Reis VS (2011) A importância do leitematernonaprevenção da enterocolitenecrosante entre recémnascidos. Nutrire Rev Soc Bras Alim Nutri 36: 266.