| Postoperative pneumatosis intestinalis in infants does not automatically preclude enteral feeding. | |
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MedLine Citation:
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PMID: 11733914 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: A degree of feed intolerance after neonatal abdominal surgery is common but in an otherwise well baby enteral feeding usually is continued at the highest tolerated level. However, the presence of rectal bleeding, pneumatosis intestinalis, or portal vein gas seen on plain abdominal x-rays suggest the possibility of postoperative necrotising enterocolitis. When this happens feedings usually are stopped for 7 to 10 days, and intravenous antibiotics and total parental nutrition are commenced. METHODS: The authors report 12 episodes of rectal bleeding and 11 episodes of pneumatosis intestinalis in 3 infants who previously had undergone neonatal abdominal surgery for intestinal malformations. In 7 of these episodes, feedings were neither stopped nor were antibiotics given. At the time of these 7 episodes, the infants were more than 3 kg in weight, had no significant cardiac or respiratory pathology, were all clinically stable, had no evidence of peritonitis, had no thrombocytopenia, and were greater than 37 weeks postconception. RESULTS: The 3 infants were monitored closely. There were no early or late problems observed attributable to this management. CONCLUSION: Carefully selected clinically stable patients that have postoperative pneumatosis intestinalis or exhibit rectal bleeding may be successfully managed by reduced enteral feedings with no antibiotics. J Pediatr Surg 36:1820-1823. |
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Authors:
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A Abhyankar; J J Corkery; A D Lander |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of pediatric surgery Volume: 36 ISSN: 1531-5037 ISO Abbreviation: J. Pediatr. Surg. Publication Date: 2001 Dec |
Date Detail:
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Created Date: 2001-12-04 Completed Date: 2002-04-15 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0052631 Medline TA: J Pediatr Surg Country: United States |
Other Details:
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Languages: eng Pagination: 1820-3 Citation Subset: IM |
Copyright Information:
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Copyright 2001 by W.B. Saunders Company. |
Affiliation:
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Institute of Child Health, University of Birmingham, Birmingham, England. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Bacterial Agents
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therapeutic use Comorbidity Digestive System Surgical Procedures / adverse effects Enteral Nutrition / methods* Enterocolitis, Necrotizing / diagnosis, epidemiology* Gastrointestinal Hemorrhage / diagnosis, epidemiology Humans Infant Intestines / abnormalities*, surgery* Pneumatosis Cystoides Intestinalis / diagnosis*, epidemiology, radiography Postoperative Complications / diagnosis*, epidemiology, radiography |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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