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Book Chapter: Necrotizing enterocolitis - surgical management

TitleNecrotizing enterocolitis - surgical management
Authors
KeywordsDelayed Anastomosis
Necrotizing Enterocolitis
Peritoneal Drainage
Issue Date1997
PublisherW.B. Saunders Company Ltd..
Citation
Seminars In Neonatology, 1997, v. 2 n. 4, p. 297-305 How to Cite?
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.
Persistent Identifierhttp://hdl.handle.net/10722/120783
ISSN

 

DC FieldValueLanguage
dc.contributor.authorTam, PKHen_HK
dc.date.accessioned2010-09-26T09:56:11Z-
dc.date.available2010-09-26T09:56:11Z-
dc.date.issued1997en_HK
dc.identifier.citationSeminars In Neonatology, 1997, v. 2 n. 4, p. 297-305en_US
dc.identifier.issn1084-2756en_US
dc.identifier.urihttp://hdl.handle.net/10722/120783-
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.en_US
dc.languageengen_HK
dc.publisherW.B. Saunders Company Ltd..en_HK
dc.relation.ispartofSeminars In Neonatologyen_US
dc.subjectDelayed Anastomosisen_US
dc.subjectNecrotizing Enterocolitisen_US
dc.subjectPeritoneal Drainageen_US
dc.titleNecrotizing enterocolitis - surgical managementen_HK
dc.typeBook_Chapteren_HK
dc.identifier.emailTam, PKH: paultam@hkucc.hku.hken_HK
dc.identifier.authorityTam, PKH=rp00060en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/S1084-2756(97)80037-1en_US
dc.identifier.scopuseid_2-s2.0-0031418120en_US
dc.identifier.hkuros33073en_HK
dc.identifier.volume2en_US
dc.identifier.issue4en_US
dc.identifier.spage297en_HK
dc.identifier.epage305en_HK

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