Necrotizing Enterocolitis

Occurs among smaller premature infants often those less than 32 weeks. Most common / serious G.I. emergency of the neonates.

Acute inflammatory injury of the distal small and often proximal large intestine.

  • Abdominal signs / symptoms: Vomiting, feed intolerance, distension of abdomen, tenderness of abdomen.
  • Systemic signs / symptoms: poor feeding, apnea, bradycardia, shock, acidosis, etc.
  • Intestinal perforation
  • Shock
  • Bleeding

Acute inflammatory injury of the distal small and often proximal large intestine in preterm babies.

  • Prematurity
  • Formula feeds
  • Sepsis
  • Umbilical vein/ artery catheterization
  • Exclusive breast milk feeds
  • Avoidance of prematurity
  • Gradual increase of feeds
  • Clinical diagnosis
  • X-ray erect abdomen (dilated bowel loops, pneumatosis intestinalis, gas in portal vein, pneumoperitoneum etc.)
  • USG abdomen
  • Gastric decompression
  • Parenteral nutrition
  • Bowel rest
  • IV antibiotics
  • Surgical intervention if needed

Consult with our experienced Doctors

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