지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 192 - 197 (6page)
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초록· 키워드
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Necrotizing enterocolitis (NEC) is a major gastrointestinal disorder in premature infants associated with high morbidity and mortality rates. When NEC is clinically suspected, radiological and laboratory studies should be performed to confirm the diagnosis and to aid in the management of patients. As the clinical manifestations of NEC are usually nonspecific, diagnoses are often made using abdominal radiographic findings, such as pneumatosis intestinalis. Clinicians typically consider the presence of pneumatosis intestinalis on radiographs as the definite evidence of stage II NEC. Here, we report 3 cases of preterm infants who had radiographic findings of pneumatosis intestinalis but did not have any other associated laboratory and clinical evidence of NEC, except bloody stools. The infants’ systemic manifestations were mild or absent, and all of them completely recovered within 2–3 days, as demonstrated by the resolution of pneumatosis intestinalis on abdominal radiographs. The combination of hematochezia and intestinal pneumatosis in preterm infants strongly suggests the diagnosis of NEC. In our cases, there was no laboratory evidence of inflammation or platelet consumption, and the clinical course was benign without any sings of surgical abdomen. Additionally, our patients had barium-induced colitis or milk protein allergy, which are other possible causes of pneumatosis intestinalis. Because pneumatosis intestinalis can result from causes other than NEC, it is important to consider clinical, laboratory, and radiological findings to confirm the diagnosis of NEC.
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참고문헌 (13)
참고문헌 신청
Aziz EM / 1973 / Neonatal pneumatosis intestinalis associated with milk intolerance / Am J Dis Child 125 : 560 ~ 562
Bell MJ / 1978 / Neonatal necrotizing enterocolitis. Therapeutic decisions based upon clinical staging / Ann Surg 187 : 1 ~ 7
Ho LM / 2007 / Pneumatosis intestinalis in the adult: benign to life-threatening causes / AJR Am J Roentgenol 188 : 1604 ~ 1613
Hoehn T / 2001 / Colonic pneumatosis intestinalis in preterm infants: different to necrotising enterocolitis with a more benign course? / Eur J Pediatr 160 : 369 ~ 371
Keller KM / 1991 / Differences in the clinical and radiologic patterns of rotavirus and non-rotavirus necrotizing enterocolitis / Pediatr Infect Dis J 10 : 734 ~ 738
Bell MJ / 1978 / Neonatal necrotizing enterocolitis. Therapeutic decisions based upon clinical staging / Ann Surg 187 : 1 ~ 7
Ho LM / 2007 / Pneumatosis intestinalis in the adult: benign to life-threatening causes / AJR Am J Roentgenol 188 : 1604 ~ 1613
Hoehn T / 2001 / Colonic pneumatosis intestinalis in preterm infants: different to necrotising enterocolitis with a more benign course? / Eur J Pediatr 160 : 369 ~ 371
Keller KM / 1991 / Differences in the clinical and radiologic patterns of rotavirus and non-rotavirus necrotizing enterocolitis / Pediatr Infect Dis J 10 : 734 ~ 738
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