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Endoscopy in a Pediatric Patient After Necrotizing Enterocolitis
Necrotizing enterocolitis (NEC) is a gastrointestinal condition usually found in premature neonates. Our case involves a full-term, 3-month-old male who was found to have pneumatosis after surgical repair of congenital cardiac defects. After cessation of enteral feeds, nasogastric tube decompression...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins, Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10187851/ https://www.ncbi.nlm.nih.gov/pubmed/37200726 http://dx.doi.org/10.1097/PG9.0000000000000306 |
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author | Chang, Erica Rowe, Dorothy Patel, Ashish Pasternak, Brad |
author_facet | Chang, Erica Rowe, Dorothy Patel, Ashish Pasternak, Brad |
author_sort | Chang, Erica |
collection | PubMed |
description | Necrotizing enterocolitis (NEC) is a gastrointestinal condition usually found in premature neonates. Our case involves a full-term, 3-month-old male who was found to have pneumatosis after surgical repair of congenital cardiac defects. After cessation of enteral feeds, nasogastric tube decompression, and broad-spectrum antibiotics, breast milk was reintroduced 8 days after his procedure. Hematochezia developed, but repeat abdominal X-rays were normal with benign abdominal examinations, stable vital signs, and improved laboratory findings. Although feeds were slowly restarted with an amino acid-based formula, hematochezia persisted. Meckel’s scan was negative, and Computerized Tomography revealed diffuse bowel inflammation. Esophagogastroduodenoscopy and flexible sigmoidoscopy were performed for further evaluation which showed stricture and ulceration at the descending colon. This procedure was complicated by perforation with subsequent resection of this segment and diverting ileostomy. Due to the risk of complications, it is suggested to wait at least 6 weeks from acute events such as NEC before performing an endoscopy. |
format | Online Article Text |
id | pubmed-10187851 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-101878512023-05-17 Endoscopy in a Pediatric Patient After Necrotizing Enterocolitis Chang, Erica Rowe, Dorothy Patel, Ashish Pasternak, Brad JPGN Rep Case Report Necrotizing enterocolitis (NEC) is a gastrointestinal condition usually found in premature neonates. Our case involves a full-term, 3-month-old male who was found to have pneumatosis after surgical repair of congenital cardiac defects. After cessation of enteral feeds, nasogastric tube decompression, and broad-spectrum antibiotics, breast milk was reintroduced 8 days after his procedure. Hematochezia developed, but repeat abdominal X-rays were normal with benign abdominal examinations, stable vital signs, and improved laboratory findings. Although feeds were slowly restarted with an amino acid-based formula, hematochezia persisted. Meckel’s scan was negative, and Computerized Tomography revealed diffuse bowel inflammation. Esophagogastroduodenoscopy and flexible sigmoidoscopy were performed for further evaluation which showed stricture and ulceration at the descending colon. This procedure was complicated by perforation with subsequent resection of this segment and diverting ileostomy. Due to the risk of complications, it is suggested to wait at least 6 weeks from acute events such as NEC before performing an endoscopy. Lippincott Williams & Wilkins, Inc. 2023-04-18 /pmc/articles/PMC10187851/ /pubmed/37200726 http://dx.doi.org/10.1097/PG9.0000000000000306 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Chang, Erica Rowe, Dorothy Patel, Ashish Pasternak, Brad Endoscopy in a Pediatric Patient After Necrotizing Enterocolitis |
title | Endoscopy in a Pediatric Patient After Necrotizing Enterocolitis |
title_full | Endoscopy in a Pediatric Patient After Necrotizing Enterocolitis |
title_fullStr | Endoscopy in a Pediatric Patient After Necrotizing Enterocolitis |
title_full_unstemmed | Endoscopy in a Pediatric Patient After Necrotizing Enterocolitis |
title_short | Endoscopy in a Pediatric Patient After Necrotizing Enterocolitis |
title_sort | endoscopy in a pediatric patient after necrotizing enterocolitis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10187851/ https://www.ncbi.nlm.nih.gov/pubmed/37200726 http://dx.doi.org/10.1097/PG9.0000000000000306 |
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