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Book Chapter: Necrotizing enterocolitis - surgical management
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TitleNecrotizing enterocolitis - surgical management
 
AuthorsTam, PKH1
 
KeywordsDelayed Anastomosis
Necrotizing Enterocolitis
Peritoneal Drainage
 
Issue Date1997
 
PublisherW.B. Saunders Company Ltd..
 
CitationSeminars In Neonatology, 1997, v. 2 n. 4, p. 297-305 [How to Cite?]
DOI: http://dx.doi.org/10.1016/S1084-2756(97)80037-1
 
AbstractDespite Major Improvements In Surgical Care, Neonatal Necrotizing Enterocolitis (Nec) Remains A Potentially Devastating Condition. Treatment Is Multidisciplinary With Surgery As The Mainstay In Advanced Cases. Bowel Perforation And Gangrene Are The Most Common Indications For Surgery. The Conventional Approach Is Resection Of Non-Viable Bowel, Often With The Bowel Ends Exteriorized. In Well Selected Cases, Primary Anastomosis Can Be Undertaken. Primary Peritoneal Drainage Has Been Advocated As A Resuscitative Measure For Nec In Extremely Sick Low Birthweight Infants. Extensive Nec Which Is Either Diffuse Or Involves Multiple Bowel Segments Is Associated With A Poor Prognosis. Innovative Treatment Options For Such Cases Include Second-Look Laparotomy, High Jejunostomy, 'Patch, Drain And Wait' And Delayed Primary Anastomosis Involving Initially 'Clip And Drop-Back'. Strictures And Other Long-Term Sequelae Can Complicated Successful Management Of Nec.
 
ISSN1084-2756
 
DOIhttp://dx.doi.org/10.1016/S1084-2756(97)80037-1
 
DC FieldValue
dc.contributor.authorTam, PKH
 
dc.date.accessioned2010-09-26T09:56:11Z
 
dc.date.available2010-09-26T09:56:11Z
 
dc.date.issued1997
 
dc.description.abstractDespite Major Improvements In Surgical Care, Neonatal Necrotizing Enterocolitis (Nec) Remains A Potentially Devastating Condition. Treatment Is Multidisciplinary With Surgery As The Mainstay In Advanced Cases. Bowel Perforation And Gangrene Are The Most Common Indications For Surgery. The Conventional Approach Is Resection Of Non-Viable Bowel, Often With The Bowel Ends Exteriorized. In Well Selected Cases, Primary Anastomosis Can Be Undertaken. Primary Peritoneal Drainage Has Been Advocated As A Resuscitative Measure For Nec In Extremely Sick Low Birthweight Infants. Extensive Nec Which Is Either Diffuse Or Involves Multiple Bowel Segments Is Associated With A Poor Prognosis. Innovative Treatment Options For Such Cases Include Second-Look Laparotomy, High Jejunostomy, 'Patch, Drain And Wait' And Delayed Primary Anastomosis Involving Initially 'Clip And Drop-Back'. Strictures And Other Long-Term Sequelae Can Complicated Successful Management Of Nec.
 
dc.description.naturelink_to_subscribed_fulltext
 
dc.identifier.citationSeminars In Neonatology, 1997, v. 2 n. 4, p. 297-305 [How to Cite?]
DOI: http://dx.doi.org/10.1016/S1084-2756(97)80037-1
 
dc.identifier.doihttp://dx.doi.org/10.1016/S1084-2756(97)80037-1
 
dc.identifier.epage305
 
dc.identifier.hkuros33073
 
dc.identifier.issn1084-2756
 
dc.identifier.issue4
 
dc.identifier.scopuseid_2-s2.0-0031418120
 
dc.identifier.spage297
 
dc.identifier.urihttp://hdl.handle.net/10722/120783
 
dc.identifier.volume2
 
dc.languageeng
 
dc.publisherW.B. Saunders Company Ltd..
 
dc.relation.ispartofSeminars In Neonatology
 
dc.subjectDelayed Anastomosis
 
dc.subjectNecrotizing Enterocolitis
 
dc.subjectPeritoneal Drainage
 
dc.titleNecrotizing enterocolitis - surgical management
 
dc.typeBook_Chapter
 
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<description.abstract>Despite Major Improvements In Surgical Care, Neonatal Necrotizing Enterocolitis (Nec) Remains A Potentially Devastating Condition. Treatment Is Multidisciplinary With Surgery As The Mainstay In Advanced Cases. Bowel Perforation And Gangrene Are The Most Common Indications For Surgery. The Conventional Approach Is Resection Of Non-Viable Bowel, Often With The Bowel Ends Exteriorized. In Well Selected Cases, Primary Anastomosis Can Be Undertaken. Primary Peritoneal Drainage Has Been Advocated As A Resuscitative Measure For Nec In Extremely Sick Low Birthweight Infants. Extensive Nec Which Is Either Diffuse Or Involves Multiple Bowel Segments Is Associated With A Poor Prognosis. Innovative Treatment Options For Such Cases Include Second-Look Laparotomy, High Jejunostomy, &apos;Patch, Drain And Wait&apos; And Delayed Primary Anastomosis Involving Initially &apos;Clip And Drop-Back&apos;. Strictures And Other Long-Term Sequelae Can Complicated Successful Management Of Nec.</description.abstract>
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Author Affiliations
  1. The University of Hong Kong