Necrotizing enterocolitis

Clinic

• NEC is a devastating intestinal disease that affects premature or very low birth weight infants.
• Initial symptoms include
  • Feeding intolerance and failure to thrive
  • Increased gastric residuals
  • Abdominal distension
  • Bloody stools.
• Symptoms may progress rapidly to abdominal discoloration with intestinal perforation and peritonitis and systemic hypotension requiring intensive medical support.

Main risk factors

• Low birth weight / Prematurity
• Formula feeding (bovine based)
• Intestinal dysbiosis

Pathophysiology

• Combination of poor blood flow and intestinal infection
• 7% of those who are born prematurely develop NEC

Diagnostic feature

• Intestinal pneumatosis, Pneumatosis cystoides intestinalis, Pneumatosis coli, or Intramural bowel gas
• It is gas cysts in the bowel wall.
• It is As a radiological sign of necrotizing enterocolitis.

Miasm

RTV