Review Article
Volume 10 Issue 9 - 2021
Surgical Options in Necrotizing Enterocolitis
Miriam Duci1, Giovanna Verlato2, Laura Moschino2, Piergiorgio Gamba3 and Francesco Fascetti-Leon4*
1Clinical Fellow of Pediatric Surgery, Division of Pediatric Surgery, Department of Women’s and Children’s Health, University of Padova, Padova,Italy
2Consultant of Neonatology, Neonatal Intensive Care Unit, Department of Women’s and Children’s Health, University of Padova, Padova, Italy
3Professor of Pediatric Surgery, Division of Pediatric Surgery, Department of Women’s and Children’s Health, University of Padova, Padova, Italy
4Assistant Professor of Pediatric Surgery, Division of Pediatric Surgery, Department of Women’s and Children’s Health, University of Padova, Padova, Italy
*Corresponding Author: Francesco Fascetti Leon, Assistant Professor of Pediatric Surgery, Division of Pediatric Surgery, Department of Women’s and Children’s Health, University of Padova, Padova, Italy.
Received: August 04, 2021; Published: August 28, 2021




Abstract

Necrotizing enterocolitis (NEC) is a devastating neonatal disease primarily seen in premature infants with an incidence rate around 1 - 5% in intensive care unit. Despite the advancement in neonatal care, NEC is still associated with high morbidity and mortality. Many cases of NEC are managed medically, but up to 40 - 50% of the patients refractory to medical management and all patients with perforated NEC require surgery. The most appropriate timing for surgery and the optimum surgical management in advanced stages of NEC remains controversial. Typically, the surgical options is influenced not only by the patient’s clinical status and the extent of the disease but also by surgeon’s preference. The surgical options at laparotomy include resection with stoma fashioning, resection with primary anastomosis, “clip and drop” or “Patch-drain-wait” technique. In Extremely Low-Birth Weight Infant, Peritoneal drainage placement has been taken in consideration. As NEC is still an emerging rare disease, network such as ERNICA (European Reference Network on Rare Inherited and Congenital Anomalies) can help to pool together disease-specific expertise in order to provide high-quality care for patients and improve a cross-border healthcare.

Keywords: Necrotizing Enterocolitis; Prematurity; Newborns; Surgery; Bowel Sparing

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Citation: Francesco Fascetti Leon., et al. “Surgical Options in Necrotizing Enterocolitis”. EC Paediatrics 10.9 (2021): 105-111.

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