Clinical features and treatments of the neonatal intestinal stenosis after necrotizing enterocolitis / 临床外科杂志

ABSTRACT

Neonatal necrotizing enterocolitis (NEC) is a common acute abdomen in newborns.Premature infants,especially who have ever involved in infection or anoxia,are quite liable to NEC.NEC is likely to cause intestinal necrosis or intestinal perforation.As the neonatology develops,the survival rate of premature infant and very low birth weight(VLBW) improves too,which at the same time increases the incidence of NEC in newborns.The increasing early diagnosis rate of necrotizing enterocolitis,effective conservative or surgical treatments are saving more and more NEC infants,which also bring higher incidences of NEC complications.Enterostenosis is the most common complication of NEC patient who was given a conservative treatment,and its incidence is as high as 15％ ～ 57 ％.It is difficult to differentiate from feeding difficulties and gastroenteritis due to the lack of specific clinical manifestations in early enterostenosis,which makes the early diagnosis of enterostenosis seems difficult and missed diagnosis or misdiagnosis occurred.Enterostenosis may cause growth retardation,malnutrition or even severe consequences such as enterobrosis,sepsis or death.At present,enterostenosis of NEC has already attracted various medical workers 'attention.Basing on all of the above,our paper took a review on the progress of diagnosis and surgical treatments to enterostenosis.