Emerging trends in acquired neonatal intestinal disease: is it time to abandon Bell's criteria?

被引:139
作者
Gordon, P. V.
Swanson, J. R.
Attridge, J. T.
Clark, R.
机构
[1] Univ Virginia, Dept Pediat, Charlottesville, VA 22908 USA
[2] Pediatrix Med Grp Inc, Sunrise, FL USA
关键词
necrotizing enterocolitis; spontaneous intestinal perforation; neonate; intestine; premature; diagnosis;
D O I
10.1038/sj.jp.7211782
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
In the last decade, it has become increasingly clear that necrotizing enterocolitis (NEC) is neither a uniform nor a well-defined disease entity. There are many factors that are forcing this unwelcome realization upon the neonatal and pediatric surgery communities. In the course of this manuscript we will review the history and the physical findings of the disparate etiologies of acquired neonatal intestinal diseases (ANIDs), some which do lead to the common final pathology of NEC and some which do not. New guidelines for distinguishing between ANIDs will also be suggested.
引用
收藏
页码:661 / 671
页数:11
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