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.

F1000Research
|February 12, 2019
PubMed

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.

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