Abstract

CASTAGNARO, María Carolina; LOPEZ MANAN, Julio; ADA MIRIAM, Góngora  and  NISHIHARA HUN, Mey Ling. Direct abdominal radiology and clinical correlation in the necrotizing enterocolitis. Rev. argent. radiol. [online]. 2009, vol.73, n.1, pp.065-070. ISSN 1852-9992.

Purpose: Determine the incidence of necrotizing enterocolitis (NEC) on the studied population and categorized the radiological signs based on the Bell clinical - radiological classification, in 6 grades from lower to higher severity (IA and B, IIA and B and IIIA and B), necessary to define prognosis and therapeutical behaviors. Materials and Method: Retrospective analysis of 550 clinical cases of neonates younger than 36 weeks assisted in UCI Neonatal between April and September 2003. Fourty five new born that developed NEC were selected, and the gestational age (GA), weight and clinical radiological presentation were evaluated. Results: From the 550 NB, 45 (8%) showed NEC. The GA that more frequently appeared was in between 31 and 34 weeks (60%) and 71% of the new born's weight was in between 1000 and 2000 grams. The clinical and radiological presentation by the Bell classification was: IA: 9 cases (20%); IB: 10 cases (22%); IIA: 11 cases (24%); IIB: 7 cases (15%); IIIA: 3 cases (7%); IIIB: 5 cases (11%). Conclusion: the incidence of NEC in the studied population was 8%, which agrees with the bibliography. It is confirmed the value of direct abdominal radiography, its role is not only linked to the diagnostic of the diseases, but it also gives valuable elements for the prognosis, evolutionary control and detection of complications.

Keywords : Necrotizing enterocolitis; Radiological signs; Neonato; Bell classification.

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