PT  - JOURNAL ARTICLE
AU  - PRZEMYSŁAW GAŁĄZKA
AU  - MAGDALENA CHRZANOWSKA
AU  - JAN STYCZYŃSKI
TI  - Clinical Spectrum and Outcomes of Neonatal Necrotizing Enterocolitis
AID  - 10.21873/invivo.12295
DP  - 2021 Jan 01
TA  - In Vivo
PG  - 585--591
VI  - 35
IP  - 1
4099  - http://iv.iiarjournals.org/content/35/1/585.short
4100  - http://iv.iiarjournals.org/content/35/1/585.full
SO  - In Vivo2021 Jan 01; 35
AB  - Background/Aim: The objective of the study was analysis of risk factors associated with outcome of necrotizing enterocolitis (NEC) in infants in a single-center study. Patients and Methods: All consecutive infants hospitalized for NEC over a period of 6 years were retrospectively analyzed for clinical course, infections, treatment and outcome. Results: Out of 76 patients, surgical management was applied in 56 (53 exploratory laparotomy, three initial peritoneal drain placement) and in 20 there was only a conservative approach. Segmental intestinal resection was performed in 41 patients. Survival from NEC in our cohort was 79%. We found that independent adverse risk factors of outcome of newborns and infants with NEC were gut perforation, infection, abdominal wall erythema, and development of acute kidney injury. Conclusion: We underline the value of both surgical and conservative approach with careful management in this cohort of patients.