Indications for operation in necrotizing enterocolitis revisited☆
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Cited by (117)
Diagnostic Dilemma of Gasless Abdomen in an Extremely Premature Infant
2023, Journal of Pediatric SurgeryNecrotizing Enterocolitis
2023, Principles of NeonatologyProstaglandin E-major urinary metabolite as a noninvasive surrogate marker for infantile necrotizing enterocolitis
2019, Journal of Pediatric SurgeryCitation Excerpt :Early diagnosis of NEC and initiation of treatment to overcome the acute phase improve survival [4]. The difficulty with diagnosis of NEC reflects the fact that the clinical presentation often does not adequately reflect disease status, particularly in extremely low birth weight infants and neonates [7,19]. Thus, our diagnosis of NEC was based on Bell's staging criteria together with disease status, imaging findings, and blood chemistry tests.
Current Status of Necrotizing Enterocolitis
2019, Current Problems in SurgeryCitation Excerpt :The only absolute indication for surgical intervention in infants with NEC is bowel perforation. Perforation is typically manifested by the presence of pneumoperitoneum on the abdominal radiograph (Fig 5); however, the rate of infants with perforation without radiographic signs of pneumoperitoneum may be as high as 25% to 50%.118,119 The presence of bile, purulence, or stool in the peritoneal fluid after paracentesis is also an indication of perforation, although paracentesis is infrequently performed.
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Presented at the 26th Annual Meeting of the Pacific Association of Pediatric Surgeons, Cairns, Queensland, Australia, May 9–14, 1993.