Necrotizing enterocolitis: Pathophysiology, platelet-activating factor, and probiotics

被引:41
作者
Frost, Brandy L. [1 ]
Caplan, Michael S. [1 ]
机构
[1] Univ Chicago, Dept Pediat, NorthShore Univ HealthSyst, Pritzker Sch Med, Evanston, IL USA
关键词
Necrotizing enterocolitis; Platelet-activating factor; Probiotics; Prematurity; ISCHEMIC BOWEL NECROSIS; WEIGHT PRETERM INFANTS; MUCIN GENE-EXPRESSION; FACTOR-ACETYLHYDROLASE; DOUBLE-BLIND; BIFIDOBACTERIUM SEPTICEMIA; INTESTINAL FLORA; RAT MODEL; PREVENTION; SUPPLEMENTATION;
D O I
10.1053/j.sempedsurg.2013.01.005
中图分类号
R72 [儿科学];
学科分类号
100202 [儿科学];
摘要
Although smaller and younger preterm neonates can now survive long term due to advances in neonatal medicine, necrotizing enterocolitis (NEC) continues to plague the clinicians caring for these tiny patients. Research studies have contributed to our understanding of this complex disease, including the role of platelet-activating factor (PAF), but preventative and treatment strategies remain limited. One promising preventative measure in recent years has been enteral supplementation of probiotics, but concerns remain regarding the optimal use of these organisms, and safe administration must be assured. This chapter reviews NEC pathophysiology, including the role of PAP, as well as literature on the use of probiotics in the preterm infant. (C) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码:88 / 93
页数:6
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