| Autor: |
A J, Ping, C E, Blane, K A, Garver |
| Rok vydání: |
1998 |
| Předmět: |
|
| Zdroj: |
Canadian Association of Radiologists journal = Journal l'Association canadienne des radiologistes. 49(4) |
| ISSN: |
0846-5371 |
| Popis: |
To investigate anecdotal reports that portal vein gas in necrotizing enterocolitis is no longer associated with a poor prognosis.Twelve cases of neonatal necrotizing enterocolitis with portal vein gas from 1988 to 1994 were identified retrospectively from the radiology dictation system in a large university hospital.Two distinct groups of patients with portal vein gas in necrotizing enterocolitis were identified. In 3 of the 12 children, portal vein gas was identified on abdominal films after the diagnosis of necrotizing enterocolitis. These infants had no serious sequelae. By contrast, in 8 of the 9 infants with portal vein gas seen on the initial film at presentation, emergent surgery was required. Four of these infants died from complications of necrotizing enterocolitis and 2 died from sepsis related to total parenteral nutrition. The remaining 2 children have short bowel syndrome, 1 is dependent on total parenteral nutrition and 1 requires continuous gastrostomy tube feedings.The children with portal vein gas on the initial abdominal film continue to have a guarded prognosis. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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