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Neonatal Necrotizing Enterocolitis(NEC)
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NEONATAL NECROTIZING ENTEROCOLITIS (NEC)
Ira Shah
Medical Sciences Department, Pediatric Oncall,
Mumbai
 

Prevention :

Corticosteroids - Prenatal / Postnatal
  • Lower incidence of NEC in mothers of preterm who received dexamethasone antenatally.
Feeding regimen
  • Breast feeding
  • Acidified feeds
  • Small iso-osmolar feeds with gradual increase in feeds
Oral Immunoglobulins (IgA & IgG)
  • Enhances intestinal immune defenses
Reduce incidence of :
  • Preterm delivery
  • Prevent predisposing factors.

DIFFERENTIAL DIAGNOSIS :

Pneumonia & sepsis
Surgical abdominal catastrophes :
  • Malrotation with obstruction
  • Malrotation with midgut volvulus
  • Intusussception
  • Ulcer
  • Gastric perforation
  • Mesenteric vessel thrombosis
Infections enterocolitis with diarrhea
Inherited metabolic disease
Feeding intolerance
Systemic candidiasis

Last updated: 1-05-2007

 

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