[Primary ulcero-necrotizing enterocolitis of the newborn. Advancements in management. Improvement in prognosis].
We report our experience acquired over the last seven years with the management of necrotizing enterocolitis in neonates. This condition occurs mainly in small-for-dates, premature, critically ill infants. Diagnosis rests on the combination of clinical evidence of intestinal obstruction with non-specific signs of a decline in general health and suggestive roentgenographic findings. Mortality has fallen from 80% to 24% over the last eight years as a result of advances in the medical management of low-birth-weight infants, earlier treatment of bowel ischemia suspected on the basis of inconspicuous manifestations, and improvements in neonatal intensive care and surgical techniques.
Lamireau
T
T
Galperine
R I
RI
Ohlbaum
P
P
Vergnes
P
P
Boissinot
F
F
Demarquez
J L
JL
D004761:Enterocolitis, Pseudomembranous / Q000401:mortality / Q000473:pathology / Q000628:therapy*; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D011379:Prognosis
L'entérocolite ulcéro-nécrosante primitive du nouveau-né. Progrès dans la prise en charge. Amélioration du pronostic.