Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Chang, Erica, Rowe, Dorothy, Patel, Ashish, Pasternak, Brad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins, Inc. 2023
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
_version_ 1785042804696678400
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
work_keys_str_mv AT changerica endoscopyinapediatricpatientafternecrotizingenterocolitis
AT rowedorothy endoscopyinapediatricpatientafternecrotizingenterocolitis
AT patelashish endoscopyinapediatricpatientafternecrotizingenterocolitis
AT pasternakbrad endoscopyinapediatricpatientafternecrotizingenterocolitis