Recent advances on the early clinical diagnosis and surgical indications for neonatal necrotizing enterocolitis
10.3760/cma.j.issn.1673-4912.2024.06.010
- VernacularTitle:新生儿坏死性小肠结肠炎早期临床诊断与手术指征新进展
- Author:
Jiali WANG
1
;
Donglai HU
;
Xiaodong GUO
;
Jinfa TOU
Author Information
1. 浙江大学医学院附属儿童医院新生儿外科,杭州 310000
- Keywords:
Neonatal necrotizing enterocolitis;
Early diagnosis;
Surgical indications;
Recent advance
- From:
Chinese Pediatric Emergency Medicine
2024;31(6):455-460
- CountryChina
- Language:Chinese
-
Abstract:
Necrotizing enterocolitis (NEC) is one of the most frequent and severe gastrointestinal diseases among neonates,especially preterm newborns.Its incidence is inversely associated with birth weight and gestational age.NEC is characterized by widespread or localized necrosis of the small intestine and colon,and intestinal perforation,septic shock and other complications can occur in severe cases.The overall survival rate of NEC has been improved in recent years.However,there is no uniform standards for early diagnosis and surgical intervention.Several biomarkers have been proposed for the early diagnosis of NEC and for the prediction of disease progression and severity.This review summarized the progress on early diagnosis and surgical indications of NEC.