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Article: Surgical Intervention In Necrotizing Enterocolitis In Neonates With Symptomatic Congenital Heart Disease

TitleSurgical Intervention In Necrotizing Enterocolitis In Neonates With Symptomatic Congenital Heart Disease
Authors
Issue Date1999
PublisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00383/index.htm
Citation
Pediatric Surgery International, 1999, v. 15 n. 7, p. 492-495 How to Cite?
AbstractThe Commonly Accepted Indication For Surgical Intervention In Necrotizing Enterocolitis (Nec) Is Perforation Of The Bowel. In This Study, The Indication And Role Of Surgery Was Assessed In Neonates Born With Symptomatic Congenital Heart Disease (Chd). Records Of Neonates Admitted To A Single Institution In Hong Kong Between January 1981 And December 1997 With Symptomatic Chd Who Subsequently Developed Nec Were Reviewed. The Patients Were Categorized Into Cyanotic And Acyanotic Groups. Of 850 Neonates With Chd Admitted During The Period, 30 Developed Nec (3.5%); 17 Had Cyanotic And 13 Had Acyanotic Heart Disease. The Average Apgar Scores At 1 And 5 Min Were 7.5 And 8.6, Respectively. The Mean Gestational Age Was 37.7 Weeks And The Mean Birth Weight Was 2.5 Kg. The Mean Age At Which Nec Developed Was 16 Days. The Overall Mortality In The Proven Cases Of Nec Was 57%. After Excluding The Suspected Nec Cases (Stage I), It Was Found That Surgery In The Proven Nec Cases Without Perforation, I.E., Stages Ii And Iiia, Resulted In Higher Survival Than In Those Managed Medically (75% Vs 44%). The Cyanotic Patients Had Higher Mortality Than The Acyanotic Group (71% Vs 39%). Neonates With Chd Who Develop Nec Belong To A Unique Group Of Mature Babies With Reasonable Birth Weights And Apgar Scores, Unlike The Common Nec Patient Population. The Mortality Of These Patients Is Extremely High, And A Modified Management Approach Is Required. Surgical Intervention May Be Indicated At A Much Earlier Stage Of Proven Nec Before Gut Perforation Occurs.
Persistent Identifierhttp://hdl.handle.net/10722/220767
ISSN
2015 Impact Factor: 1.01
2015 SCImago Journal Rankings: 0.409
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorCheng, Wen_US
dc.contributor.authorLeung, MPen_US
dc.contributor.authorTam, PKHen_US
dc.date.accessioned2015-10-16T08:20:26Z-
dc.date.available2015-10-16T08:20:26Z-
dc.date.issued1999-
dc.identifier.citationPediatric Surgery International, 1999, v. 15 n. 7, p. 492-495en_US
dc.identifier.issn0179-0358-
dc.identifier.urihttp://hdl.handle.net/10722/220767-
dc.description.abstractThe Commonly Accepted Indication For Surgical Intervention In Necrotizing Enterocolitis (Nec) Is Perforation Of The Bowel. In This Study, The Indication And Role Of Surgery Was Assessed In Neonates Born With Symptomatic Congenital Heart Disease (Chd). Records Of Neonates Admitted To A Single Institution In Hong Kong Between January 1981 And December 1997 With Symptomatic Chd Who Subsequently Developed Nec Were Reviewed. The Patients Were Categorized Into Cyanotic And Acyanotic Groups. Of 850 Neonates With Chd Admitted During The Period, 30 Developed Nec (3.5%); 17 Had Cyanotic And 13 Had Acyanotic Heart Disease. The Average Apgar Scores At 1 And 5 Min Were 7.5 And 8.6, Respectively. The Mean Gestational Age Was 37.7 Weeks And The Mean Birth Weight Was 2.5 Kg. The Mean Age At Which Nec Developed Was 16 Days. The Overall Mortality In The Proven Cases Of Nec Was 57%. After Excluding The Suspected Nec Cases (Stage I), It Was Found That Surgery In The Proven Nec Cases Without Perforation, I.E., Stages Ii And Iiia, Resulted In Higher Survival Than In Those Managed Medically (75% Vs 44%). The Cyanotic Patients Had Higher Mortality Than The Acyanotic Group (71% Vs 39%). Neonates With Chd Who Develop Nec Belong To A Unique Group Of Mature Babies With Reasonable Birth Weights And Apgar Scores, Unlike The Common Nec Patient Population. The Mortality Of These Patients Is Extremely High, And A Modified Management Approach Is Required. Surgical Intervention May Be Indicated At A Much Earlier Stage Of Proven Nec Before Gut Perforation Occurs.en_US
dc.languageengen_US
dc.language.isoenen_US
dc.publisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00383/index.htmen_US
dc.relation.ispartofPediatric Surgery Internationalen_US
dc.titleSurgical Intervention In Necrotizing Enterocolitis In Neonates With Symptomatic Congenital Heart Diseaseen_US
dc.typeArticleen_US
dc.identifier.emailTam, PKH=rp00060-
dc.identifier.emailTam, PKH:paultam@hkucc.hku.hk-
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1007/s003830050647-
dc.identifier.pmid10525907-
dc.identifier.scopuseid_2-s2.0-0032861816-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0032861816&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume15-
dc.identifier.issue7-
dc.identifier.spage492-
dc.identifier.epage495-
dc.identifier.isiWOS:000082909100013-

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