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A Neonatal BALB/c Mouse Model of Necrotizing Enterocolitis
Published on: November 30, 2021
Necrotizing enterocolitis
1Indraprastha Apollo Hospital, New Delhi. akulkarni58@rediffmail.com
Insights
Necrotizing enterocolitis (NEC) is increasingly recognized in India among survivors of intensive care for low birth-weight infants. Further understanding of NEC is crucial for prevention and management strategies in this growing population.
Area of Science:
- Neonatalogy
- Pediatric Gastroenterology
- Public Health
Background:
- Improved survival rates for low birth-weight infants in India's neonatal intensive care units are noted.
- Increased survival is linked to the growing acceptance and affordability of advanced infant care.
- There is a rising concern that Necrotizing enterocolitis (NEC) may significantly increase future morbidity and mortality.
Purpose of the Study:
- To highlight the growing concern of Necrotizing enterocolitis (NEC) in India.
- To emphasize the need for better understanding of NEC's pathophysiology and pathogenesis.
- To underscore the importance of developing optimal prevention and management principles for NEC.
Main Methods:
- This study is a review of current trends and concerns regarding NEC in India.
- It synthesizes observations on the increasing incidence of NEC among survivors of intensive care.
- It identifies the need for further research into the causes and mechanisms of NEC.
Main Results:
- Necrotizing enterocolitis (NEC) is frequently observed in early survivors of intensive care for low birth-weight infants in India.
- NEC is the most common acquired gastrointestinal emergency in newborns, with universally poor outcomes.
- The rising survival rates of preterm infants predict a potential increase in NEC cases.
Conclusions:
- Necrotizing enterocolitis (NEC) poses a significant future threat to the morbidity and mortality of preterm infants in India.
- A deeper understanding of NEC's development is essential for effective clinical intervention.
- Developing optimal strategies for NEC prevention and management is a critical public health priority.
Abstract:
Improvement in survival rates of low birth-weight infants particularly in the neonatal intensive care units of India appears to be accompanied by frequent recognition of Necrotizing enterocolitis (NEC) among early survivors. As the philosophy and practice of advanced care for tiny infants becomes more acceptable and affordable in the country, a steady increase in survival of such infants is predictable. However there is growing concern in India that NEC could become a significant contributor to morbidity and mortality in the future. NEC is currently regarded as the most common acquired gastrointestinal emergency in the newborn period, and the outcome of this disease is universally poor. Improved understanding of the pathophysiology and pathogenesis of this condition is required for formulating optimal principles of prevention and management.
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