Treatment for necrotizing enterocolitis perforation in the extremely premature infant (weighing <1,000 g)*

https://doi.org/10.1016/S0022-3468(05)80105-8Get rights and content

The frequency of necrotizing enterocolitis (NEC) in the extremely premature infant (<1,000 g) is still high and it is very difficult for infants weighing <1,000 g with NEC perforation to survive. In our institutes, the management protocol for NEC perforation in infants weighing <1,000 g includes peritoneal drainage under local anesthesia, administration of coagulating factor XIII, and the usual treatment for septic shock. During the past 3 years, four infants weighing <1,000 g with NEC perforation have survived using this protocol without laparotomy. This management protocol is the treatment of choice in infants in very poor condition or infants weighing <1,000 g with NEC perforation.

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*

Presented at the 24th Annual Meeting of the Pacific Association of Pediatric Surgeons, Hong Kong, May 20–24, 1991.

1

From the Department of Pediatric Surgery, Kagoshima University, and the Neonatal Center, Kagoshima Municipal Hospital, Kagoshima, Japan.

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