Prospective evaluation of the impact of sonography on the management and surgical intervention of neonates with necrotizing enterocolitis

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YIKILMAZ A., Hall N. J. , Daneman A., Girstle J. T. , Navarro O. M. , Moineddin R., ...More

PEDIATRIC SURGERY INTERNATIONAL, vol.30, no.12, pp.1231-1240, 2014 (Journal Indexed in SCI) identifier

  • Publication Type: Article / Article
  • Volume: 30 Issue: 12
  • Publication Date: 2014
  • Doi Number: 10.1007/s00383-014-3613-8
  • Page Numbers: pp.1231-1240


Established indications for surgery in necrotizing enterocolitis (NEC) are pneumoperitoneum and failure to improve or clinical deterioration with medical treatment alone. It has been proposed that infants with intestinal necrosis may benefit from surgery in the absence of one of these indications yet the diagnosis of definitive intestinal necrosis is challenging. Recent data suggest that abdominal ultrasound (US) examination focused on the gastrointestinal tract and the peritoneal cavity may be of utility in this regard. The aim of this study was to evaluate the ability of abdominal US to detect intestinal necrosis in infants with radiographically confirmed NEC.