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Neonatology pp 1395-1401 | Cite as

Surgical Treatment in Newborns of Necrotizing Enterocolitis

  • Nigel J. Hall
  • Agostino Pierro
Reference work entry

Abstract

Great controversy surrounds the indications for surgery in infants with NEC. While many respond to intensive medical treatment, in up to 50% more severe NEC develops, requiring surgical intervention. As with the lack of consensus regarding indications for surgical intervention, there is a lack of consensus concerning the ideal surgical management of infants with NEC. Surgical options depend primarily on the extent of intestinal disease and the clinical stability of the infant. In addition to surgery in the acute phase, a number of infants develop late complications of NEC, either following medical or previous surgical treatment, and these complications may require surgical intervention. Clear knowledge of these outcomes is important in counseling parents and in assessing the effectiveness of treatments.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.University Surgery Unit, Faculty of MedicineUniversity of SouthamptonSouthamptonUK
  2. 2.Division of General and Thoracic SurgeryThe Hospital for Sick ChildrenTorontoCanada

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