Abstract
Introduction
A neonate with features of intestinal obstruction continue to baffle experienced neonatologists and even paediatric surgeons. Hence, when a neonate with such features is admitted to an NICU, it has been observed that the resident physician makes a working diagnosis of NNEC in many cases. We observed that the prelimniary diagnosis may bias subsequent judgement and management in few cases where the diagnosis is unwarranted and actual pathology are different.
References
- Neonatal Necrotizing Enterocolitis: Diagnosis management and Pathogenesis Yost, Christian Con MD, Journal of Infusion Nursing March – April 2005, - Vol 28- Issue 2 P 130-134
- The Micro Biome and Biomarkers of Necrotizing Enterocolitis: are we any closer to Prediction ? RusconiB, Good M, Warner BB. J Pediatric. 2017 Oct . 189:40-7.e2.
- Neonatal necrotizing enterocolitis, an epidemiological study NarangA , Rao R, Bhakoo ON. Indian Pediatrics 1993; 30 : 1207-1214
- Changing trends in Neonatal necrotizing enterocolitis. Experience of 302 cases in 2 decades Grosfeld, JL, Gehu H, Schlatter M , West KW, Rescorla FJ Ann Surg 1991; 214: 300-306 discussion 306-307
- Epidemologic study of Neonatal necrotizing enterocolitis among low birth weight infants. Absence of identifiable risk factors. Kliegman RM, Hack M , Jones P , Fanaroff AA. J Pediatrics 1982; 100:; 440-444
- Necrotizing enterocolitis (NEC) in Newborn Hormann M, Pumblerger W, Puig S, Kreuzer S , Metz VM Radiologe 2000, Jan ; 40(1); 58-62.
- Predictors of Gangreneous necrotizing enterocolitis and extent of disease. Early laparotomy versus peritoneal drainage Roy A Tayeb M, Khogeer SS, Al Salem AHSaudi Med J. 2005 Mar; 26(3): 447-52
- Necrotizing enterocolitis and volvulus in prematre neonate Boulton JE, Ein SH, Reily BJ, Smith BT, Pape KE.J Pediatric Surg. 1989 Sept; 24(9) : 901-5.
- Stehr M, Lehner M, Schuster T, Heinrich M, Dietz HG. Tubularized incised plate (TIP) urethroplasty (Snodgrass) in primary hypospadias repair. Eur J Pediatr Surg. 2005;15:420–4 Surgical necrotizing enterocolitis Robinson JR, Rellinger EJ, Hatch LD, et al.Seminars Perinatol 2017; 41:70
- Neonatal necrotizing enterocolitis Theraputic decisions based up on clinical staging Bell MJ, Tern Berg JL, Feigin RD, et al.Ann Surg 1978; 187:1.
Corresponding Author
Dr Vivek Parameswara Sarma
Department of Paediatric Surgery, SAT Hospital, Govt Medical College, Thiruvananthapuram