Neonatal Necrotizing Enterocolitis NEC:Clinical Staging,Investigations

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

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Neonatal Necrotizing Enterocolitis(NEC)

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Results

NEONATAL NECROTIZING ENTEROCOLITIS (NEC)

Related topics

Neonatal Necrotizing Enterocolitis(NEC)

Pathogenesis,Pathology and Clinical Features

Management and Prognosis

Prevention and Differential Diagnosis

Ira Shah
Medical Sciences Department, Pediatric Oncall,
Mumbai

Clinical Staging of NEC :

Stage	Clinical features	X-ray	Survival (%)
Suspect NEC	Mild abdominal distension Stasis Vomiting Poor feeding	Mild ileus	100%
Definite NEC	Marked abdominal distension GI bleeding	Definite ileus Pneumatosis intestinalis	95%
Advanced NEC	DIC Shock Sclerema Brownish Peritoneal aspirate	Fixed dilated loop of intestine Portal vein gas Pneumoperitoneum	50%

INVESTIGATIONS :

Serial X-rays of abdomen: Fixed bowel loop, Appearance of mass, Pneumatosis intestinalis, Portal or hepatic venous air, Pneumoperitoneum
Stool examination: Occult blood, reducing substances for unabsorbed lactose, Culture for aerobic / anaerobic bacteria
Blood: Electrolytes, Hematocrit, Coagulation status , Culture, ABG. Watch for triad of thrombocytopenia, severe refractory hyponatremia and acidosis.
USG: Micro bubbles of gas in portal vein
Hydrogen breath test

Next : Management and Prognosis

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