Table of Contents
What is NEC medical term?
Necrotizing enterocolitis (NEC) is a gastrointestinal disease that involves infection and inflammation that causes damage and the death of cells in some or all of the intestine.
What is NEC procedure?
Surgery to treat NEC Your baby will have a type of surgery called a laparotomy. A laparotomy allows the surgeon to look at the bowel by making a hole across the tummy. Your baby will be put under general anaesthetic (put to sleep) for a laparotomy.
What is the treatment for NEC?
Treatment for NEC may include the following: stopping feedings. inserting a nasogastric (NG) tube (nose into stomach) to keep the stomach empty. intravenous fluids (IV) for nutrition and fluid replacement.
What are the symptoms of NEC?
Symptoms of NEC include:
- Abdominal pain and swelling.
- Changes in heart rate, blood pressure, body temperature and breathing.
- Diarrhea with bloody stool.
- Green or yellow vomit.
- Lethargy.
- Refusing to eat and lack of weight gain.
What are NEC symptoms?
Is NEC only premature?
Who might get necrotizing enterocolitis? Nearly all babies — 9 out of 10 — who get NEC are born early. The condition mostly affects babies: Born before the 37th week of pregnancy (premature babies).
What are the signs of NEC?
A baby with necrotizing enterocolitis might have these symptoms:
- a swollen, red, or tender belly.
- trouble feeding.
- food staying in the stomach longer than expected.
- constipation.
- diarrhea and/or dark or bloody stools (poop)
- being less active or lethargic.
- a low or unstable body temperature.
- green vomit (containing bile)
What is the best imaging modality for necrotizing enterocolitis (NEC)?
Plain abdominal radiography is the current standard imaging modality for evaluation of necrotizing enterocolitis (NEC). Sonography is still not routinely used for diagnosis and follow-up, as it is not widely recognized that it can provide information that is not provided by plain abdominal radiography and that may affect the management of NEC.
When is plain abdominal radiography indicated in the evaluation of neonatal NEC?
Plain abdominal radiography is the current modality of choice for the evaluation of neonates suspected of having NEC. The timing of follow-up plain abdominal radiographs depends on the severity of the NEC and may vary from 6 to 24 hourly. However, plain abdominal radiographs are also required at any time of acute clinical deterioration.
Which sonogram findings are characteristic of NEC necrosis of the colon (NEC)?
Thinning of the bowel wall in NEC. Sonogram shows a bowel loop filled with content of mixed echogenicity and surrounded by clear free fluid. The bowel wall is of various thicknesses but is particularly focally thinned at one site (arrow).
Which radiographs are performed in the workup of necrotic eclampsia (NEC)?
Once the diagnosis of NEC has been established, interval plain abdominal radiographs are essential for appropriate follow-up. The disappearance of intramural gas and portal venous gas is not always associated with clinical improvement, and these are thus poor indicators of progress.