Turk Arch Pediatrics 2023
DOI: 10.5152/turkarchpediatr.2021.21164
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Turkish Neonatal Society Necrotizing Enterocolitis Diagnosis, Treatment and Prevention Guidelines

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Cited by 9 publications
(4 citation statements)
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“…The presented case underscores the critical need for distinguishing complications arising from umbilical catheterization from other potential pathologies, such as NEC, spontaneous intestinal perforation (SIP), etc. While our patient exhibited symptoms consistent with NEC, including a notable decrease in stool passage, with no bowel movements observed in the last 2 days, accompanied by ab- dominal distension, changes in abdominal coloration, and signs indicative of compromised circulation, a meticulous evaluation revealed catheter-associated issues, necessitating a careful diagnostic approach [1]. The clinical presentation of TPN extravasation in neonates can manifest with variable and nonspecific symptoms, leading to a challenging diagnostic process.…”
Section: Discussionmentioning
confidence: 75%
See 1 more Smart Citation
“…The presented case underscores the critical need for distinguishing complications arising from umbilical catheterization from other potential pathologies, such as NEC, spontaneous intestinal perforation (SIP), etc. While our patient exhibited symptoms consistent with NEC, including a notable decrease in stool passage, with no bowel movements observed in the last 2 days, accompanied by ab- dominal distension, changes in abdominal coloration, and signs indicative of compromised circulation, a meticulous evaluation revealed catheter-associated issues, necessitating a careful diagnostic approach [1]. The clinical presentation of TPN extravasation in neonates can manifest with variable and nonspecific symptoms, leading to a challenging diagnostic process.…”
Section: Discussionmentioning
confidence: 75%
“…Acute abdomen in very low birth weight (VLBW) and premature infants poses a diagnostic challenge, often requiring a comprehensive assessment to discern the underlying causes [1]. Among the medical interventions frequently employed in neonatal intensive care units, the use of umbilical venous catheters (UVCs) is commonplace for essential purposes such as fluid administration, medication delivery, and parenteral nutrition.…”
Section: Introductionmentioning
confidence: 99%
“…Hence, the majority of preterm newborns require parenteral nutrition or nasogastric or orogastric tube feeding to deliver enough nutrition in the interest of maximizing nutritional support [ 2 ]. However, preterm infants are still susceptible to complications even when receiving the aforementioned treatments, with prolonged intravenous nutrition increasing the risk of parenteral nutrition-associated liver disease, central cannula-associated bloodstream infections, and the beginning of cannula feeding increasing the risk of necrotizing enterocolitis and spontaneous intestinal perforation, which have a detrimental effect on infant survival [ 3 , 4 ]. Thereby, research has turned to interventions to hasten the transition of premature newborns to suckle feeding.…”
Section: Introductionmentioning
confidence: 99%
“…), hyperpyrexia, oliguria, etc. According to Bell staging, we have stage I (lethargy, apnea attacks, decreased nutrition, mild abdominal distension/ileus, and blood in stool), stage II (severe abdominal distension, bowel pneumothorax, and/or portal air), and stage III (full thickness intestinal necrosis, perforation, peritonitis, sepsis, and death) [15,16]. Note that clinical manifestations begin after the onset of bowel feeding.…”
Section: Introductionmentioning
confidence: 99%