RT Journal Article
SR Electronic
T1 Clinical Spectrum and Outcomes of Neonatal Necrotizing Enterocolitis
JF In Vivo
JO In Vivo
FD International Institute of Anticancer Research
SP 585
OP 591
DO 10.21873/invivo.12295
VO 35
IS 1
A1 PRZEMYSŁAW GAŁĄZKA
A1 MAGDALENA CHRZANOWSKA
A1 JAN STYCZYŃSKI
YR 2021
UL http://iv.iiarjournals.org/content/35/1/585.abstract
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.