Coupon Accepted Successfully!


Necrotizing Enterocolitis

Prematurity; Most important predisposing factor.
  1. Risk factors:
    1. Pre maturity
    2. Early feeding
    3. Formula feeding
    4. Asphyxia
    5. Infection
  2. Clinical Features:
    1. Septicemia
    2. Abdominal distension
    3. Vomiting
    4. Blood in stools
    5. Bradycardia
Triad: Abdominal distention; Increased prolonged gastric residue; Bleeding per rectum
  1. Stages of NEC (Bell staging)
    1. SI- Clinical signs & symptĂ´mes, nondiagnostic radiograph
    2. SII- definite clinical sign & symptoms, pneumatosis intestinalis Q on radiographic
      1. Mildly ill
      2. Moderately ill with systemic toxicity
    3. SIII- Advanced critically ill
      1. Impending perforation Q
      2. Proven intestinal perforation Q
      3. DIC Anuria, Pneumo Peritonium.
  2. Investigation:
    1. Thrombocytopenia
    2. Metabolic acidosis
    3. Severe refractory hyponatremia
  3. Abdominal x ray: Pneumatosis cystoids intestinalis, dilated bowel loops and portal or hepatic vein air.

Test Your Skills Now!
Take a Quiz now
Reviewer Name