Aabdelwahab MB
Egypt
Case Report
Stepwise Management of Necrotizing Enterocolitis Could Improve Outcome of this Life-Threatening Disease
Author(s): Abdel Maksod YH, Shahin AM, Ahmed H and Aabdelwahab MBAbdel Maksod YH, Shahin AM, Ahmed H and Aabdelwahab MB
Objectives: To present various lines of management of infants with necrotizing enterocolitis (NEC) and to outline its outcome. Patients and Methods: This prospective study included 127 neonates met Bell' s criteria for NEC diagnosis. All neonates were managed at NICU. Whenever indicated emergency laparotomy (EL) was performed. Medical management included no oral feeding, gastric suction, parentral nutrition, intravenous antibiotic therapy and cardiorespiratory support till patients start to thrive. Then, enteral feeding tolerance was tested and was started with mothers' milk given gradually. Bedside diagnostic mini-laparoscopy was performed for non-responders to medical intervention and if possible, dealing with pathology was conducted. Postoperative care was provided at NICU and patients were monitored for full recovery, development of additional morbidities or death. Results.. View More»
