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Management of NEC: Surgical Treatment and Role of Traditional X-ray Versus Ultrasound Imaging, Experience of a Single Centre

Author(s):

G De Bernardo*, D Sordino, C De Chiara, M Riccitelli , F Esposito , M Giordano and A Tramontano   Pages 1 - 5 ( 5 )

Abstract:


Necrotizing enterocolitis is the most common cause of the postnatal critical conditions and remains one of the dominant cause of newborns’ death in Neonatal Intensive Care. The morbidity and mortality associated with necrotizing enterocolitis remain largely unchanged and the incidence of necrotizing enterocolitis continues to increase. There is no general agreement regarding the surgical treatment of the necrotizing enterocolitis. In this paper, we want to evaluate the results obtained in our centre from different types of necrotizing enterocolitis’s surgical treatment and to analyse the role of traditional X-ray versus ultrasound Doppler imaging in the evolutionary phases of necrotizing enterocolitis. In the initial phase of necrotizing enterocolitis, when the radiographic examination shows only a specific dilation of the loops, ultrasonography shows more and more specific signs, as wall thickening, alteration of parietal echogenicity, increase in wall perfusion, single or sporadic airborne microbubbles in the thickness of wall sections.

Keywords:

NEC, surgical treatment, clip and drop, second-look, anastomosis, abdomen ultrasound

Affiliation:

Department of Mother's and Child's Health, Fondazione Poliambulanza Istituto Ospedaliero, Brescia, Department of Emergency, Santobono-Pausilipon Children Hospital, Napoli, Department of Emergency, Santobono-Pausilipon Children Hospital, Napoli, Department of Molecular and Developmental Medicine, University of Siena, Department of Radiology, Santobono-Pausilipon Children Hospital, Napali, Department of Clinical Medicine and Surgery, Medicine and Surgery, University of Naples Federico II, Napoli, Department of Surgery, Santobono-Pausilipon Children Hospital, Napoli



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