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2012, Number 4

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Rev Med Inst Mex Seguro Soc 2012; 50 (4)

Survival and morbidity of infants with necrotizing enterocolitis treated with surgery

García H, Franco-Gutiérrez M, Gutiérrez-Hernández JI

Language: Spanish
References: 40
Page: 427-436
PDF size: 109.41 Kb.


ABSTRACT

Objectives: to determine the survival rate and type of morbidity during the first year of life of infants with necrotizing enterocolitis (NEC) who underwent to surgical treatment.
Methods: a comparative and descriptive study was performed. Thirty two children with NEC (19 deaths and 13 survivals) who underwent to surgery during neonatal period were studied. Perinatal conditions, surgical procedures and findings, morbidity and survival rate during the first year of life were registered.
Results: all patients underwent to laparotomy, except three patients who died and were managed with peritoneal drainage only. During the first year of life, cholestasis and intestinal obstruction were the main causes of morbidity in survivals and deaths. Survival rate during neonatal period was 78 %, and 40.6 % in the first year of life.
Conclusions: morbidities during the first year of life were related to surgery. In this series, there was a high survival rate in neonatal period, which diminished in the first year of life.



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