{"id":7363,"date":"2014-05-31T00:13:14","date_gmt":"2014-05-30T22:13:14","guid":{"rendered":"http:\/\/medrazgl.si\/?p=7363"},"modified":"2014-06-02T22:32:06","modified_gmt":"2014-06-02T20:32:06","slug":"necrotizing-enterocolitis","status":"publish","type":"post","link":"https:\/\/medrazgl.si\/en\/necrotizing-enterocolitis\/","title":{"rendered":"Necrotizing Enterocolitis"},"content":{"rendered":"<p>Necrotizing enterocolitis comprises ischemic and inflammatory bowel necrosis and occurs\u00a0predominantly in premature neonates. It is an important cause of morbidity and mortality\u00a0in neonatal intensive care units. Several factors are involved in the pathogenesis of this disease:\u00a0genetic predisposition, intestinal immaturity, ischemic episodes, infections, enteral feeding\u00a0and bacterial translocation. The diagnosis of necrotizing enterocolitis is based on clinical\u00a0examination, laboratory studies and abdominal radiographs. A proportion of neonates with\u00a0necrotizing enterocolitis can be cured conservatively. Surgical treatment is needed in case\u00a0of intestinal perforation. The mortality rate of necrotizing enterocolitis is between 20% and\u00a030%. The surviving neonates often suffer from long-term sequelae, including short bowel syndrome\u00a0and neuro-developmental disability. Breastfeeding or feeding with mother\u2019s expressed\u00a0breast milk, together with early trophic feeding with slow increments, lowers the incidence\u00a0of necrotizing enterocolitis in premature neonates. Prophylactic use of probiotics is useful,\u00a0but its safety has not been established. This paper describes three cases of neonates with necrotizing\u00a0enterocolitis in which the heterogeneity of risk factors and clinical signs is shown, along\u00a0with a stepwise approach to the management of this disease.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Necrotizing enterocolitis comprises ischemic and inflammatory bowel necrosis and occurs\u00a0predominantly in premature neonates. It is an important cause of morbidity and mortality\u00a0in neonatal intensive care units. Several factors are involved in the pathogenesis of this disease:\u00a0genetic predisposition, intestinal immaturity, ischemic episodes, infections, enteral feeding\u00a0and bacterial translocation. The diagnosis of necrotizing enterocolitis is based on clinical\u00a0examination, [&hellip;]<\/p>\n","protected":false},"author":43,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[398,441],"tags":[],"class_list":["post-7363","post","type-post","status-publish","format-standard","hentry","category-1-2012-archive","category-pediatrics"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Necrotizing Enterocolitis - Dru\u0161tvo Medicinski razgledi<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medrazgl.si\/nekrotizirajoci-enterokolitis\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Necrotizing Enterocolitis - Dru\u0161tvo Medicinski razgledi\" \/>\n<meta property=\"og:description\" content=\"Necrotizing enterocolitis comprises ischemic and inflammatory bowel necrosis and occurs\u00a0predominantly in premature neonates. It is an important cause of morbidity and mortality\u00a0in neonatal intensive care units. Several factors are involved in the pathogenesis of this disease:\u00a0genetic predisposition, intestinal immaturity, ischemic episodes, infections, enteral feeding\u00a0and bacterial translocation. The diagnosis of necrotizing enterocolitis is based on clinical\u00a0examination, [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/medrazgl.si\/nekrotizirajoci-enterokolitis\/\" \/>\n<meta property=\"og:site_name\" content=\"Dru\u0161tvo Medicinski razgledi\" \/>\n<meta property=\"article:published_time\" content=\"2014-05-30T22:13:14+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2014-06-02T20:32:06+00:00\" \/>\n<meta name=\"author\" content=\"Valentina Ahac\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Valentina Ahac\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/nekrotizirajoci-enterokolitis\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/medrazgl.si\\\/nekrotizirajoci-enterokolitis\\\/\"},\"author\":{\"name\":\"Valentina Ahac\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/#\\\/schema\\\/person\\\/afd0f3231ee7ab8b2ed1e4aeed3eefeb\"},\"headline\":\"Necrotizing Enterocolitis\",\"datePublished\":\"2014-05-30T22:13:14+00:00\",\"dateModified\":\"2014-06-02T20:32:06+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/medrazgl.si\\\/nekrotizirajoci-enterokolitis\\\/\"},\"wordCount\":183,\"commentCount\":0,\"articleSection\":[\"1\",\"Pediatrics\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/medrazgl.si\\\/nekrotizirajoci-enterokolitis\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/nekrotizirajoci-enterokolitis\\\/\",\"url\":\"https:\\\/\\\/medrazgl.si\\\/nekrotizirajoci-enterokolitis\\\/\",\"name\":\"Necrotizing Enterocolitis - Dru\u0161tvo Medicinski razgledi\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/medrazgl.si\\\/#website\"},\"datePublished\":\"2014-05-30T22:13:14+00:00\",\"dateModified\":\"2014-06-02T20:32:06+00:00\",\"author\":{\"@id\":\"https:\\\/\\\/medrazgl.si\\\/#\\\/schema\\\/person\\\/afd0f3231ee7ab8b2ed1e4aeed3eefeb\"},\"breadcrumb\":{\"@id\":\"https:\\\/\\\/medrazgl.si\\\/nekrotizirajoci-enterokolitis\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/medrazgl.si\\\/nekrotizirajoci-enterokolitis\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/nekrotizirajoci-enterokolitis\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/medrazgl.si\\\/en\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Necrotizing Enterocolitis\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/#website\",\"url\":\"https:\\\/\\\/medrazgl.si\\\/\",\"name\":\"Dru\u0161tvo Medicinski razgledi\",\"description\":\"Dru\u0161tvo Medicinski razgledi\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/medrazgl.si\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/#\\\/schema\\\/person\\\/afd0f3231ee7ab8b2ed1e4aeed3eefeb\",\"name\":\"Valentina Ahac\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/c5057f6dbe272a0fc7eaa25ec10f809b38127c54b939c4deecc793fc9184f850?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/c5057f6dbe272a0fc7eaa25ec10f809b38127c54b939c4deecc793fc9184f850?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/c5057f6dbe272a0fc7eaa25ec10f809b38127c54b939c4deecc793fc9184f850?s=96&d=mm&r=g\",\"caption\":\"Valentina Ahac\"},\"url\":\"https:\\\/\\\/medrazgl.si\\\/en\\\/author\\\/valentina-ahac\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Necrotizing Enterocolitis - Dru\u0161tvo Medicinski razgledi","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/medrazgl.si\/nekrotizirajoci-enterokolitis\/","og_locale":"en_US","og_type":"article","og_title":"Necrotizing Enterocolitis - Dru\u0161tvo Medicinski razgledi","og_description":"Necrotizing enterocolitis comprises ischemic and inflammatory bowel necrosis and occurs\u00a0predominantly in premature neonates. 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