Necrotizing enterocolitis report of 20 cases
نویسندگان
چکیده مقاله:
Necrotizing enterocolitis is a disease of unknown origin. Epidemiological observations emphasize the potential roles of infection, enteric feeding and local vascular compromise of the Gastrointestinal tract in the pathogenesis of this disease. Clinical findings include signs of sepsis , plus abdominal distention , vomiting, bloody stool and occasionally , signs of intestinal perforation and peritonitis. Serial plain abdominal films necessary to confirm the diagnosis, although, distention of intestinal loops could be the only radiological finding, pneumatosis intestinalis with or without portal air are pathognomonic. In this report, 20 cases of NEC over a period of 8 years (1984-1992) are reported. Four out of 20 were below one month and 16 between one month to 3 years of age. Fourteen cases followed an episode of acute gastroenteritis. Among our patients 3 developed NEC after using diphenoxylate for diarrhea prior to admission. In 9 patients moderate to severe malnutrition was notable . Seventeen patients were formula fed, only 3 cases were surgically treated. Mortality rate among our patients was 30℅.
منابع مشابه
Eosinophilia In A Case Of Necrotizing Enterocolitis, A case report
Background: Necrotizing enterocolitis is one of the serious complications of prematurity. Eosinophilia has not been proposed as a classical laboratory abnormality in NEC. Previous studies suggest that eosinophilia during NEC may be a sign of allergic enterocolitis. Case presentation: We present a premature neonate with birth weight of 1280 grams with abdominal distention, bilious gastric resid...
متن کاملNecrotizing enterocolitis
During the 3 years 1972-74, 17 infants were treated for necrotizing enterocolitis (NEC) in the Neonatal Unit at University College Hospital. The incidence of the illness was 0 2% of live births in the hospital and 2.7% of those referred from elsewhere. The mean birthweight of the affected infants was 1832 g (range 878-3850 g) and mean gestational age 33 weeks (range 28-40 weeks). The illness wa...
متن کاملNecrotizing enterocolitis.
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متن کاملNecrotizing enterocolitis in adults: A study of four cases
Necrotizing enterocolitis is an acute disease that primarily affects premature neonates of low birth weight, and has a very high morbidity and mortality. The incidence in adults is significantly less, with lower mortality rates. Of those who survive, many are left with complications related to short gut syndrome. We report 4 cases of necrotizing enterocolitis all of whom underwent early surgica...
متن کامل[Advances in necrotizing enterocolitis].
OBJECTIVE To evaluate recently reported findings on necrotizing enterocolitis, Paying particular attention to pathogenesis, management and preventative strategies. DATA SOURCES The articles covered in this report consist of randomized and quasi-randomized trials, case control studies, meta-analyses and reviews published recently. Certain other articles were also included because of their utmo...
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عنوان ژورنال
دوره 1 شماره 5
صفحات 18- 23
تاریخ انتشار 1993-12-01
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