Early detection of necrotizing enterocolitis by gastrointestinal tonometry.
The diagnosis of necrotizing enterocolitis (NEC) in neonates has traditionally depended on a combination of clinical signs, biochemical parameters and radiological changes. The measurement of intramucosal pH by gastrointestinal tonometry provides a simple means of long-term monitoring which may detect the development of NEC before conventional techniques. We present our experience of tonometry in two 'at risk' term neonates with Hypoplastic Left Heart Syndrome.
Hatherill
M
M
Paediatric Intensive Care Unit, Guy's Hospital, London, UK.
Tibby
S M
SM
Denver
L
L
Marsh
M J
MJ
Murdoch
I A
IA
D004761:Enterocolitis, Pseudomembranous / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000150:complications / Q000000981:diagnostic imaging; D007231:Infant, Newborn; D008365:Manometry; D012680:Sensitivity and Specificity; D014463:Ultrasonography