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Updated: Jan 29, 2026

A Novel Human Epithelial Enteroid Model of Necrotizing Enterocolitis
Published on: April 10, 2019
Recent advances in understanding necrotizing enterocolitis
Mashriq Alganabi1, Carol Lee1, Edoardo Bindi1
1Division of General and Thoracic Surgery, Translational Medicine Program, The Hospital for Sick Children, Toronto, Ontario, Canada.
Insights
Necrotizing enterocolitis (NEC) is a severe intestinal disease in preterm infants. This review covers NEC epidemiology, risk factors, pathophysiology, and current/emerging management strategies.
Area of Science:
- Neonatal Medicine
- Gastroenterology
- Pediatric Surgery
Background:
- Necrotizing enterocolitis (NEC) is a critical intestinal disease impacting premature infants.
- Despite advances in neonatal care, mortality rates for NEC, particularly in advanced stages, remain high.
- Key aspects of NEC, including disease mechanisms, injury progression, and optimal management, are subjects of ongoing research and debate.
Purpose of the Study:
- To provide a comprehensive overview of the current understanding of necrotizing enterocolitis.
- To review the epidemiology, risk factors, and pathophysiology of NEC.
- To discuss current therapeutic approaches and highlight emerging research for future directions.
Main Methods:
- Literature review of necrotizing enterocolitis.
- Analysis of epidemiological data and risk factors.
- Synthesis of current knowledge on pathophysiology and management.
Main Results:
- NEC affects preterm infants, with high mortality in advanced cases.
- Understanding of NEC epidemiology, risk factors, and pathophysiology is evolving.
- Current management strategies exist, with promising new research avenues.
Conclusions:
- NEC remains a significant challenge in neonatal intensive care.
- Further research into NEC mechanisms and treatments is crucial.
- Improved understanding and novel strategies are needed to reduce NEC-related mortality.
Abstract:
Necrotizing enterocolitis is a devastating intestinal disease affecting preterm infants. In spite of ongoing research and advancement in neonatal care, mortality remains high, especially in infants with advanced disease. The mechanism of disease development, the progression of intestinal injury, and management remain areas of ongoing research and controversy. In this review, we examine our current understanding of the disease, its epidemiology, the risk factors associated with the development of the disease, and its pathophysiology. We also describe current management and new emerging research highlighting potential future directions.
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