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Surgery for necrotizing enterocolitis.

J F Robertson, A F Azmy, D G Young

    The British Journal of Surgery
    |May 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Necrotizing enterocolitis in infants often requires emergency surgery. Surgical interventions, including resection and drainage, were analyzed, revealing a significant mortality rate and the risk of late intestinal strictures.

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    Area of Science:

    • Pediatric Surgery
    • Neonatal Care
    • Gastrointestinal Surgery

    Background:

    • Necrotizing enterocolitis (NEC) is a severe gastrointestinal emergency in neonates.
    • Surgical intervention is often necessary for NEC management.
    • Outcomes and complications following emergency surgery for NEC require further investigation.

    Purpose of the Study:

    • To review surgical interventions for necrotizing enterocolitis.
    • To identify indications for emergency surgery in NEC patients.
    • To analyze outcomes, including mortality and late strictures, after NEC surgery.

    Main Methods:

    • Retrospective review of 37 patients with necrotizing enterocolitis requiring emergency surgery.
    • Analysis of surgical indications: intestinal perforation, obstruction, clinical deterioration, and rectal bleeding.

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  • Categorization of initial surgical procedures: peritoneal catheter drainage, intestinal diversion, resection, laparotomy with biopsy, and laparotomy alone.

    • Main Results:

    • Intestinal perforation was the most common indication for surgery (28 patients).
    • Intestinal resection was performed in 14 patients, while 13 underwent peritoneal catheter drainage.
    • Twelve patients developed late intestinal strictures, and the overall mortality rate was 35%.

    Conclusions:

    • Emergency surgery for necrotizing enterocolitis carries a substantial mortality risk.
    • Late intestinal strictures are a significant complication following surgical management of NEC.
    • Careful patient selection and surgical technique are crucial in managing NEC.