Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Fasching, G; Höllwarth, ME; Schmidt, B; Mayr, J.
Surgical strategies in very-low-birthweight neonates with necrotizing enterocolitis.
Acta Paediatr Suppl. 1994; 396(3):62-64
Doi: 10.1111/j.1651-2227.1994.tb13246.x
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- Co-Autor*innen der Med Uni Graz
- Höllwarth Michael
- Mayr Johannes
- Schmidt Barbara
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- Abstract:
- Very-low-birthweight (VLBW) neonates are more prone to complications and death than term infants are. In a 15-year period, 19 neonates with VLBW were operated on for necrotizing enterocolitis (NEC). Indications for operation were pneumoperitoneum in 12 and deterioration of general condition in 7. Bowel resection and intestinal diversion was performed in 12, a lateral enterostomy at the site of perforation was created in 5, and 2 neonates with necrosis of the whole bowel underwent an exploratory laparotomy without any further surgical treatment. Surgical complications were found in one-third of the patients. The mortality rate was significantly higher when the ileum was affected. The survival rate was 68%. Prior to 1984 the survival rate was 37% (3/8); subsequently, it has improved to 91% (10/11) as a result of improved intensive therapy.
- Find related publications in this database (using NLM MeSH Indexing)
- Anastomosis, Surgical -
- Enterocolitis, Pseudomembranous - mortality
- Humans -
- Ileostomy -
- Infant, Low Birth Weight -
- Infant, Newborn -
- Infant, Premature -
- Infant, Premature, Diseases - mortality
- Intestines - surgery
- Jejunostomy -
- Peritoneal Lavage -
- Pneumoperitoneum - etiology
- Postoperative Complications -
- Reoperation -
- Survival Rate -
- Find related publications in this database (Keywords)
- Necrotizing Enterocolitis
- Surgery
- Very-Low-Birth-Weight