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[Intestinal stenosis during ulceronecrotizing enterocolitis]

J J Baudon1, P Josset, G Audry

  • 1Centre de pédiatrie Edmond-Lesné, Hôpital d'enfants Armand-Trousseau, Paris, France.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|April 1, 1997
PubMed
Summary
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Necrotizing enterocolitis (NE) can lead to intestinal stenosis in neonates, regardless of surgical or medical treatment. Early detection via contrast enema may prevent complications and allow for planned surgery.

Area of Science:

  • Neonatal surgery
  • Pediatric gastroenterology
  • Gastrointestinal pathology

Context:

  • Intestinal stenosis is a complication following necrotizing enterocolitis (NE).
  • Stenosis can occur in neonates treated surgically for perforation or medically for obstruction.
  • Contrast enema has been proposed for early stenosis detection in medically treated neonates.

Purpose:

  • To compare the timing, clinical, and pathological characteristics of intestinal stenosis in surgically and medically treated neonates.
  • To evaluate the effectiveness of contrast enema in detecting stenosis before refeeding.

Summary:

  • Fifteen out of 50 neonates with NE developed intestinal stenosis between 3 weeks and 3 months post-diagnosis.
  • Stenosis occurred in surgical patients, medically treated patients without contrast studies, and medically treated patients with contrast studies.

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  • Pathological examination revealed similar lesions (fibrosis, edema, inflammation) across all groups.

    • Impact:

    • A 30% incidence of stenosis was observed in neonates surviving NE, similar across treatment groups.
    • Systematic stenosis detection using contrast enema may help avoid complications.
    • Early detection facilitates planned, one-stage surgical intervention for intestinal stenosis.