Conservative Management of Necrotizing Enterocolitis in Newborns: Incidence and Management of Intestinal Strictures
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- 19% of neonates (24/126) conservatively managed for NEC Stage 2A+ developed intestinal strictures requiring surgery
- All post-NEC strictures were treated with primary resection and anastomosis without need for ostomy
- Intestinal stricture is a common delayed complication after non-operative NEC management requiring surveillance
- Conservative NEC management necessitates systematic follow-up protocols to detect strictures before obstruction occurs
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How big of a problem are intestinal strictures after conservative management of necrotizing enteroclidus? I'm Alan Salper, a research fellow from Children's National, and this is an article that you should know. To try to answer this question, men have all performed a retrospective review of all patients who underwent conservative management of modified Bell's Stage 2A or greater neck at a single institution from 2011 to 2022. They found that 126 patients underwent conservative management of neck, and 24 of those patients eventually underwent surgery for a post-necstricture. Primary resection and anesthmosis was performed in all cases. So it seems like post-necstructures are common occurrence after conservative management of neck. Does this information change your practice at all? Let us know what you think in the comments below.