Abstract
Necrotizing enterocolitis (NEC) is usually considered to be a neonatal disease, and is rarely described beyond the newborn period. During the last 15 years, 19 infants from the Negev region, Israel, with NEC were beyond the neonatal age group (range=34–616 days, median-90 days). Of this group only 16% were born prematurely, and only 16% had perinatal or neonatal pathology. Diarrhea and dehydration preceding NEC were common as was malnutrition. Bacteremia was detected in 42%. The mortality rate was 90%. Malnutrition, supposedly contributed to the formation of NEC and to the high mortality rate among these infants.
References
Bell MJ, Ternberg JL, Feigin RD, Keating JP, Marshall R, Barton L, Brotherton T (1978) Neonatal necrotizing enterocolitis —therapeutic decisions, based upon clinical staging. Ann Surg 187:1–7
Denman A, Woodward S, De-Silva A (1978) The radiology of necrotizing enterocolitis. Pediatr Radiol 7:70–77
Goitein K, Aviad I, Shapiro T (1973) Necrotizing enterocolitis of infancy. Harefuah 85:261–264
Hofmann S, Bauman H, Emmrich P, Shreiber E (1978) Surgical problems in necrotizing enterocolitis in childhood. Prog Pediatr Surg 11:87–96
Leonidas SC, Hall RT (1976) Neonatal pneumatosis coli: A mild form of neonatal necrotizing enterocolitis. J Pediatr 89:456–459
Moss TJ, Adler R (1982) Necrotizing enterocolitis in older infants, children and adolescents. J Pediatr 10:764–766
Polin RA, Pollack PF, Barlow B, Wigger HJ, Slovis TL, Santulli TV, Heird WC (1976) Necrotizing enterocolitis in term infants. J Pediatr 89:460–462
Ramenofsky ML (1977) Necrotizing enterocolitis occuring in an infant three months of age. J Pediatr Surg 12:597–599
Takayanagy K, Kapila L (1981) Necrotizing enterocolitis in older intants. Arch Dis Child 56:468–471
Shah KJ, Corkery JJ (1978) Necrotizing enterocolitis following umbilical vein catheterization. Clin Radiol 29:295–301
Stein J, Beck J, Solomon A, Schmaman, A (1972) Gastroenteritis with necrotizing enterocolitis in premature babies. Br Med J 2:616–619
Stevenson JK, Oliver TK, Graham CB, Bell RS, Gould VE (1971) Aggressive treatment of neonatal necrotizing enterocolitis. 38 patients, with 25 survivors. J Pediatr Surg 6:28–35
Stoll BJ, Kanto WP, Glass RI, Nahmias AJ, Brann AW (1980) Epidemiology of necrotizing enterocolitis: A case control study. J Pediatr 96:447–451
Wilson SE, Woolley MM (1969) Primary necrotizing enterocolitis in infants. Arch Surg 99:563–566
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Dagan, R., Ben-Yacov, O., Mares, A.J. et al. Necrotizing enterocolitis beyond the neonatal period. Eur J Pediatr 142, 56–58 (1984). https://doi.org/10.1007/BF00442592
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DOI: https://doi.org/10.1007/BF00442592