Necrotizing enterocolitis in premature infants: Diagnosis and treatment
Abstract
Necrottzing enterocolitis remains a major cause of morbidity and mortality among low and extremely low birth weight premature infants. There has been a trend within recent years to increase the percentage of newborn babies with necrotizing enterocolitis, which is associated with the intensive development of neonatology and intensive care. It is extremely difficult to make the diagnosis in low birth weight infants in the early stages of the disease. To study actively the most important diagnostic factors in the early stages of the disease is one of the first tasks of neonatologists. X-ray examination is the most reliable diagnostic method when the clinical manifestations necrotizing enterocolitis appear. When the disease develops its surgical stage, mortality rate increases dramatically among extremely low birth weight premature infants. Choice of the best surgical treatment in these babies remains an important challenge faced by pediatric surgeons.
About the Authors
Yu. I. Kucherov
Research Institute of Pediatric Surgery, Research Centre of Children's Health, Russian Academy of Medical Sciences, Moscow; N.I. Pirogov Russian National Research Medical University, Moscow
Russian Federation
Russian Federation
Yu. V. Zhirkova
Research Institute of Pediatric Surgery, Research Centre of Children's Health, Russian Academy of Medical Sciences, Moscow; N.I. Pirogov Russian National Research Medical University, Moscow
Russian Federation
Russian Federation
T. N. Shishkina
Research Institute of Pediatric Surgery, Research Centre of Children's Health, Russian Academy of Medical Sciences, Moscow
Russian Federation
Russian Federation
I. A. Mikhalev
Research Institute of Pediatric Surgery, Research Centre of Children's Health, Russian Academy of Medical Sciences, Moscow
Russian Federation
Russian Federation
A. V. Arsa
Research Institute of Pediatric Surgery, Research Centre of Children's Health, Russian Academy of Medical Sciences, Moscow
Russian Federation
Russian Federation
L. I. Chebotaeva
Research Institute of Pediatric Surgery, Research Centre of Children's Health, Russian Academy of Medical Sciences, Moscow
Russian Federation
Russian Federation
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For citations:
Kucherov Yu.I., Zhirkova Yu.V., Shishkina T.N., Mikhalev I.A., Arsa A.V., Chebotaeva L.I. Necrotizing enterocolitis in premature infants: Diagnosis and treatment. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2014;59(6):18-24. (In Russ.)
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