Abstract
Between 1974 and 1988, 86 newborns with perforated necrotizing enterocolitis (NEC) were treated by either laparotomy (usually involving a bowel resection and a temporary stoma) or a peritoneal drain under local anesthesia. The survival of babies in the laparotomy group was 57% versus 59% in the drained group. However, for neonates less than 1,000 g survival in the drained group was 69% compared to 22% for the laparotomy group (P <.01). As the weight of the babies increased over 1,000 g, the survival in the laparotomy group increased to 67%. There was no significant increase in survival in infants over 1,500 g. The highest neonatal mortality risk is generally found among babies weighing less than 1,000 g at birth with a gestational age of less than 30 weeks. This risk increases even more when perforated NEC is added to the prematurity. With the use of peritoneal drainage, survival in this group can approach that of larger neonates.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 137-139 |
| Number of pages | 3 |
| Journal | Pediatric Surgery International |
| Volume | 12 |
| Issue number | 2-3 |
| DOIs | |
| State | Published - Feb 1997 |
| Externally published | Yes |
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Keywords
- Necrotizing enterocolitis
- Neonatal perforation
- Peritoneal drain
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
Cite this
Laparotomy or drain for perforated necrotizing enterocolitis : Who gets what and why? / Azarow, Kenneth; Ein, S. H.; Shandling, B.; Wesson, D.; Superina, R.; Filler, R. M.
In: Pediatric Surgery International, Vol. 12, No. 2-3, 02.1997, p. 137-139.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Laparotomy or drain for perforated necrotizing enterocolitis
T2 - Who gets what and why?
AU - Azarow, Kenneth
AU - Ein, S. H.
AU - Shandling, B.
AU - Wesson, D.
AU - Superina, R.
AU - Filler, R. M.
PY - 1997/2
Y1 - 1997/2
N2 - Between 1974 and 1988, 86 newborns with perforated necrotizing enterocolitis (NEC) were treated by either laparotomy (usually involving a bowel resection and a temporary stoma) or a peritoneal drain under local anesthesia. The survival of babies in the laparotomy group was 57% versus 59% in the drained group. However, for neonates less than 1,000 g survival in the drained group was 69% compared to 22% for the laparotomy group (P <.01). As the weight of the babies increased over 1,000 g, the survival in the laparotomy group increased to 67%. There was no significant increase in survival in infants over 1,500 g. The highest neonatal mortality risk is generally found among babies weighing less than 1,000 g at birth with a gestational age of less than 30 weeks. This risk increases even more when perforated NEC is added to the prematurity. With the use of peritoneal drainage, survival in this group can approach that of larger neonates.
AB - Between 1974 and 1988, 86 newborns with perforated necrotizing enterocolitis (NEC) were treated by either laparotomy (usually involving a bowel resection and a temporary stoma) or a peritoneal drain under local anesthesia. The survival of babies in the laparotomy group was 57% versus 59% in the drained group. However, for neonates less than 1,000 g survival in the drained group was 69% compared to 22% for the laparotomy group (P <.01). As the weight of the babies increased over 1,000 g, the survival in the laparotomy group increased to 67%. There was no significant increase in survival in infants over 1,500 g. The highest neonatal mortality risk is generally found among babies weighing less than 1,000 g at birth with a gestational age of less than 30 weeks. This risk increases even more when perforated NEC is added to the prematurity. With the use of peritoneal drainage, survival in this group can approach that of larger neonates.
KW - Necrotizing enterocolitis
KW - Neonatal perforation
KW - Peritoneal drain
UR - http://www.scopus.com/inward/record.url?scp=0030991782&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0030991782&partnerID=8YFLogxK
U2 - 10.1007/s003830050085
DO - 10.1007/s003830050085
M3 - Article
C2 - 9156840
AN - SCOPUS:0030991782
VL - 12
SP - 137
EP - 139
JO - Pediatric Surgery International
JF - Pediatric Surgery International
SN - 0179-0358
IS - 2-3
ER -