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A Novel Human Epithelial Enteroid Model of Necrotizing Enterocolitis
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Neurodevelopmental outcomes following necrotizing enterocolitis.

Marie Hickey1, Michael Georgieff2, Sara Ramel1

  • 1Department of Pediatrics, Division of Neonatology, University of Minnesota, Minneapolis, MN, USA.

Seminars in Fetal & Neonatal Medicine
|August 27, 2018
PubMed
Summary

Necrotizing enterocolitis (NEC) in premature infants increases the risk of poor neurodevelopmental outcomes. Early, multifaceted follow-up is crucial for detection and intervention to optimize brain development.

Keywords:
Gastrointestinal microbiotaInflammationNecrotizing enterocolitisNeurodevelopmentNutritionOutcomesPrematurity

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Area of Science:

  • Neonatal Medicine
  • Developmental Pediatrics
  • Pediatric Gastroenterology

Background:

  • Necrotizing enterocolitis (NEC) is a critical gastrointestinal condition in premature infants.
  • NEC is linked to significant risks of adverse neurodevelopmental outcomes.
  • The infant brain is highly vulnerable during the period when NEC typically occurs.

Purpose of the Study:

  • To highlight the association between NEC and neurodevelopmental impairments.
  • To emphasize the need for comprehensive follow-up strategies for affected infants.
  • To underscore the importance of early detection and intervention for optimizing neurodevelopmental trajectories.

Main Methods:

  • Review of existing literature on NEC and neurodevelopmental outcomes.
  • Discussion of the multifactorial pathogenesis of neurodevelopmental impairment post-NEC.
  • Outline of recommended multifaceted follow-up protocols.

Main Results:

  • NEC significantly increases the risk of poor neurodevelopmental outcomes in premature infants.
  • Both nutritional and non-nutritional factors contribute to neurodevelopmental deficits after NEC.
  • A comprehensive follow-up approach is essential for managing these risks.

Conclusions:

  • Optimizing neurodevelopmental outcomes in infants with NEC requires a proactive and multifaceted follow-up strategy.
  • Continued research is vital to elucidate NEC's impact on brain development and to develop targeted interventions.
  • Early and serial assessments, including developmental, neurologic, and sensory evaluations, are critical.