[Procedures in fulminant courses of necrotizing enterocolitis]

14/42 neonates suffering from N.E.C. developed the clinical stage III (intestinal necrosis, septicemia) and/or IV (intestinal perforation, peritonitis) within 24-48 h ("fulminant" course). 2/14 deteriorated dramatically and died before operation. In 12/14 cases, the general condition could be improved and immediate laparotomy was performed (2/12 died). Management and factors affecting prognosis are discussed. Following surgery, there was no significant difference in survival rates between "fulminant" and protracted course N.E.C.