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AuthorZvizdic, Zlatan
AuthorSefic Pasic, Irmina
AuthorDzananovic, Amra
AuthorRustempasic, Nedzad
AuthorMilisic, Emir
AuthorJonuzi, Asmir
AuthorVranic, Semir
Available date2020-01-27T05:15:54Z
Publication Date2020-01-23
Publication NameChildrenen_US
Identifierhttp://dx.doi.org/10.3390/children7020009
CitationZvizdic, Z.; Sefic Pasic, I.; Dzananovic, A.; Rustempasic, N.; Milisic, E.; Jonuzi, A.; Vranic, S. Bowel Dilatation on Initial Plane Abdominal Radiography May Help to Assess the Severity of Necrotizing Enterocolitis in Preterm Infants. Children 2020, 7, 9.
URIhttp://hdl.handle.net/10576/12584
AbstractNecrotizing enterocolitis (NEC) is the most common life-threatening gastrointestinal emergency associated with prematurity. Timely diagnosis and adequate treatment are crucial to reduce the morbidity and mortality of the affected infants. The aim of this study was to evaluate the diagnostic yield of bowel dilatation on plane abdominal radiography (AR) in the early diagnosis and NEC severity in preterm infants. We retrospectively reviewed initial ARs of 50 preterm infants with NEC ≥ stage II admitted to the neonatal intensive care unit (NICU) in a tertiary-care hospital. The largest bowel loops diameters (AD), the latero-lateral diameters of the peduncle of the first lumbar vertebra (L1), and the distance of the upper edge of the first lumbar vertebra and the lower edge of the second one, including the disc space (L1-L2), were measured. All anteroposterior ARs were done in a supine projection on the day of onset of the initial symptoms of NEC. Preterm infants with surgical NEC showed a statistically significant increase in the AD/L1 ratio ( < 0.001) and AD/L1-L2 ratio ( < 0.001) compared with preterm infants with medical NEC. We found no significant association between the site of the most distended bowel loop and the severity of NEC ( > 0.05). Bowel loop distension on initial AR may serve as an additional diagnostic tool in the early diagnosis and severity of stages II/III NEC. Further prospective clinical studies should validate the results from this study.
Languageen
PublisherMDPI
Subjectabdominal radiography
Subjectbowel distension
Subjectdisease severity
Subjectnecrotizing enterocolitis
TitleBowel Dilatation on Initial Plane Abdominal Radiography May Help to Assess the Severity of Necrotizing Enterocolitis in Preterm Infants.
TypeArticle
Issue Number2
Volume Number7
ESSN2227-9067


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