Necrotizing Enterocolitis

Question 1

Necrotizing Enterocolitis is the most cause of ……. in premature babies

Answer 1

Acute abdomen

Question 2

Necrotizing Enterocolitis is a

Answer 2

Hemorrhagic inflammation
in the intestinal wall

Question 3

Necrotizing Enterocolitis diagnosis

Answer 3

Abdominal X-ray we will see
Pneumatosis intestinalis [ Air in the bowel wall]

Question 4

Necrotizing Enterocolitis Clinically :

Answer 4

Vomiting , Bloody stool
Abdominal distention + tenderness , Feeding intolerance

Question 5

Risk Factors of Necrotizing Enterocolitis

Answer 5

1- Prematurity
2- Very low Birth weight [ < 1.5 kg ]
3- Reduced mesenteric perfusion [ Hypotension , CongentialHD ]
4- Early formula Feeding [ > breast milk ]

Question 6

Complications of NEC

Answer 6

1. Bowel perforation → X-ray: Pneumoperitoneum.
2. peritonitis , Portal venous Air [Severe disease]
3. Sepsis
4. Death up to 40%
5. instestinal strictures [ Biliary vomiting , lack of stool ]

Question 7

Treatment of NEC

Answer 7

1- Supportive Care
[ Bowel rest – NPO , nutrition via TPN , IV. Fluids ]
2- Antibiotics
3- +/- Surgery [ Laparotomy ]