TREATMENT OF NECROTIC ENTEROCOLITIS IN NEWBORN CHILDREN
https://doi.org/10.24884/0042-4625-2016-175-1-71-73
Abstract
Necrotic enterocolitis is a common disease of the newborn children, which requires an emergency treatment. The results of children treatment depend on many factors, especially from well-timed diagnostics in case of transition from therapeutic to surgical stage. There was noted the tendency to lethality reduction because of necrotic enterocolitis (17% in developed countries, 42% in countries with low- and middle levels of economy) over the past decade. The authors followed-up 42 children with the diagnosis of necrotic enterocolitis. Sepsis, inflammatory bowel disease, toxic products in its lumen are the main source of severe condition of the child. The antibacterial and detoxication therapies should be performed for the newborn child with necrotic enterocolitis on admission to the hospital. An operative treatment have to be carried out in case of lack of condition improvement.
About the Authors
A. E. Solov’Ev
Zaporozhye State Medical University
Russian Federation
Russian Federation
I. A. Anikin
Zaporozhye State Medical University
Russian Federation
Russian Federation
A. P. Pakhol’Chuk
Zaporozhye State Medical University
Russian Federation
Russian Federation
References
1. Гераськин А. В., Немилова Т. Н., Караваева С. А., Макрушена О. Г. Педиатрия-неонатология: Национальное руководство. М., 2010. Т. 3. С. 447-454.
2. Горбатюк О.Н, Горбатюк О. Н., Недавний Г. В. и др. Инструментальная диагностика некротического энтероколита у новорожденных // Хир. детск. возраста. 2012. № 3. С. 38-42.
3. Знаменская Т. К. Педиатрия-неонатология. Киев: Ассоциация неопатологов Украины, 2012. 880 с.
4. Караваева С. А. Диагностика и особенности клинического течения некротического энтероколита у детей // Вестн. хир. 2002. № 4. С. 41-44.
5. Карпова И.Ю, Паршиков В. В. Некротический энтероколит у новорожденных // Детская хир. 2011. № 6. С. 47-50.
6. Лосев А. А., Лосев А. А., Диланян И. Р. Проблемы лечения некротизирующего энтероколита и профилактика его осложнений // Хир. детск. возраста. 2009. № 1. С. 59-62.
7. Шахов К. В., Переяслов А. А., Шеролят О. Е. Некротический энтероколит у новорожденных // Хир. детск. возраста. 2014. № 1-2. С. 94-100.
8. Щербинин Р. Л. Результаты комплексного лечения некротизирующего энтероколита у новорожденных // Детская хир. 2012. № 1. С. 12-14.
9. Abdullah F., Abdullah F., Zhang Y. et al. Necrotizing enterocolitis in 20,822 infants: analysis of medical and surgical treatments // Clin Pediatr (Phila.). 2010. Vol. 49, № 2. P. 166-169.
10. Austeng D., Austeng D., Blennow M. et al. Incidence of and risk factors for neonatal morbidity after active perinatal care: extremely preterm infants study in Sweden (EXPRESS) // Acta Paediatr. 2010. Vol. 99, № 7. P. 978-992.
11. Eltayeb A. A., Mostafa M. M., Ibrahim N. H., Eltayeb A. A. The role of surgery in management of necrotizing enterocolitis // Int. J. Surg. 2010. Vol. 8, № 6. P. 458-461.
12. Fanaroff A. A. Neonatal-perinatal medicine: diseases of the fetus and infant // A. A. Fanaroff, K. J. Marthu. 7th ed. St.Louis: Mosby, 2002. Vol. 1. 673 p.
13. Fitzgibbons S. C., Ching Y., Yu D. et al. Mortality of necrotizing ente rocolitis expressed by birth weight categories // J. Pediatr. Surg. 2009. Vol. 44. P. 1072-1076.
14. Neonatology: a practical approach to neonatal diseases / Eds. G. Buonocore, R. Bracci, M. Weindling. Italia: Springer-Verlag, 2012. 1348 p.
15. Neu J., Walker W.A. Necrotizing enterocolitis // N. Engl. J. Med. 2011. Vol. 364. P. 255-164.
16. Wendy H. Y., Amuchou Singh Soraisham, Vibhuti S. S. et al. Incidence and timing of presentation of necrotizing enterocolitis in pre-term infants // Pediatrics. 2012. Vol. 129. P. 298-304.
Review
For citations:
Solov’Ev A.E., Anikin I.A., Pakhol’Chuk A.P. TREATMENT OF NECROTIC ENTEROCOLITIS IN NEWBORN CHILDREN. Grekov's Bulletin of Surgery. 2016;175(1):71-73. (In Russ.) https://doi.org/10.24884/0042-4625-2016-175-1-71-73
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