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Related Experiment Video

Updated: Jan 29, 2026

A Novel Human Epithelial Enteroid Model of Necrotizing Enterocolitis
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Does Surgical Management Alter Outcome in Necrotizing Enterocolitis?

Benjamin D Carr1, Samir K Gadepalli1

  • 1Section of Pediatric Surgery, Department of Surgery, C.S. Mott Children's Hospital, University of Michigan, 1540 East Hospital Drive, SPC 4211, Ann Arbor, MI 48108, USA.

Clinics in Perinatology
|February 18, 2019
PubMed
Summary

Necrotizing enterocolitis (NEC) affects premature infants, with surgical care often relying on surgeon judgment. Multicenter collaboration is crucial for improving outcomes and addressing long-term complications in NEC patients.

Keywords:
ComplicationsEnterostomyLaparotomyMetabolic derangementNecrotizing enterocolitisPeritoneal drainagePrimary anastomosisSurgery

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Area of Science:

  • Neonatal surgery
  • Pediatric gastroenterology
  • Critical care medicine

Background:

  • Necrotizing enterocolitis (NEC) affects 14% of infants weighing less than 1000 grams.
  • Preoperative management for NEC is highly variable, with pneumoperitoneum as the sole definitive surgical indication.
  • Current clinical practice for NEC management heavily relies on surgeon judgment due to a lack of definitive biomarkers and scoring systems.

Purpose of the Study:

  • To review the current state of surgical necrotizing enterocolitis care.
  • To highlight challenges in preoperative management and surgical decision-making.
  • To emphasize the need for collaborative research to resolve controversies and improve outcomes.

Main Methods:

  • Review of current literature and clinical practices in surgical necrotizing enterocolitis.
  • Discussion of existing and emerging biomarkers and scoring systems.
  • Analysis of surgical approaches for bowel preservation and management of panintestinal disease.

Main Results:

  • Outcomes for panintestinal necrotizing enterocolitis are generally poor.
  • Creative surgical techniques are employed to maximize bowel length preservation.
  • Significant short- and long-term complications, including stricture, short gut syndrome, and neurodevelopmental impairment, complicate recovery.

Conclusions:

  • Resolving controversies in surgical necrotizing enterocolitis necessitates multicenter collaboration.
  • Centralized data and tissue repositories are essential for advancing research.
  • Prospective randomized controlled trials and benchmarking are critical for evidence-based practice improvement in NEC care.