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In very small or sick premature infants, the risk for necrotizing enterocolitis may be diminished by beginning parenteral nutrition and delaying enteral feedings for several days to weeks.
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What percentage of necrotizing enterocolitis cases are treated without surgery?
Successful treatment for necrotizing enterocolitis in premature infants occurs in approximately 70% of cases without surgery.
When does Necrotizing enterocolitis begin?
It begins in infants shortly after birth
What is the prognosis for newborns undergoing surgery for necrotizing enterocolitis?
Necrotizing enterocolitis is the most common cause of death in newborns undergoing surgery. The average mortality is 30-40%, even higher in severe cases.
What does the medical abbreviation nec mean?
NEC stands for "necrotizing enterocolitis," which is a serious condition that affects the intestines of premature infants. It is characterized by inflammation and tissue death in the intestinal lining and requires prompt medical attention.
What does the medical abbreviation nec baby mean?
NEC in this context means necrotizing enterocolitis.
What are symptoms of advanced necrotizing enterocolitis?
If the infection spreads to the bloodstream, infants may develop lethargy, fluctuations in body temperature, and periodically stop breathing.
Under what circumstances is surgery for necrotizing enterocolitis performed?
The surgical treatment depends on the individual patient's condition. Patients with infection that has caused serious damage to the bowel may have portions of the bowel removed
What are early symptoms of necrotizing enterocolitis?
an intolerance to formula, distended and tender abdomen, vomiting, and blood (visible or not) in the stool. One of the earliest signs may also be the need for mechanical support of the infant's breathing
How may necrotizing enterocolitis be described as a life-threatening condition?
a serious infection that can produce complications in the intestine itself--such as ulcers, perforations (holes) in the intestinal wall, and tissue necrosis--as well as progress to life-threatening septicemia.
What are possible complications facing survivors of surgery for necrotizing enterocolitis?
a stricture, or narrowing, of the intestine that occurs with healing. This can create an intestinal obstruction that will require surgery. Infants may also be more susceptible to future bacterial infections in the gastrointestinal tract
What are possible complications of surgery for necrotizing enterocolitis?
wound infections and lack of healing, persistent sepsis and bowel necrosis, and a serious internal bleeding disorder known as disseminated intravascular coagulation.
What conditions render newborns susceptible to necrotizing enterocolitis?
respiratory distress syndrome, congenital heart problems, and episodes of apnea (cessation of breathing). The primary risk factor, however, is prematurity.
