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Pediatric Surgery International

Erschienen in:

01.06.2006 | Review Article

Necrotising enterocolitis and localised intestinal perforation: different diseases or ends of a spectrum of pathology

verfasst von: V. E. Boston

Erschienen in: Pediatric Surgery International | Ausgabe 6/2006

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Excerpt

Necrotising enterocolitis (NEC) is one of the most common and the most serious conditions affecting premature infants. The incidence is increasing in parallel with improvements in neonatal care. These fragile babies are now surviving whereas in the past they would have died because of the immaturity of their lungs. As a consequence, NEC is now recognised as the most common cause of death in the new-born period and a frequent source of long-term morbidity for those who survive. The disease is characterised by a sudden deterioration in the general condition of a premature baby who has previously been relatively well. The child becomes difficult to feed, may vomit and develop abdominal distension. A significant proportion of those affected will run a progressively deteriorating clinical course with peritonitis, intestinal perforation, septicaemia, multiple organ failure and death. The terminal ileum and ascending colon is usually affected but the gut may often be more extensively involved. Intestinal perforation (which is often multiple), occurs in about 20% of those babies who develop NEC. …

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Titel: Necrotising enterocolitis and localised intestinal perforation: different diseases or ends of a spectrum of pathology
verfasst von: V. E. Boston
Publikationsdatum: 01.06.2006
Verlag: Springer-Verlag
Erschienen in: Pediatric Surgery International / Ausgabe 6/2006
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-006-1697-5

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