Role of Abdominal US in Diagnosis of NEC.

Jae H Kim

Journal: Clinics in perinatology 2019;46(1):119-127

PMID: 30771813

Full Text on Elsevier Science View on PubMed

Abstract

Current assessment for and diagnosis of necrotizing enterocolitis (NEC) remain inadequate. The introduction of interrogating bowel with ultrasound when NEC is suspected or when NEC has occurred presents greater opportunity to characterize the physical changes that have occurred in the bowel wall structures. The evaluation of bowel by ultrasound has been shown to have high specificity for bowel necrosis. There are current barriers in adoption of these techniques because they have not been integrated into routine diagnostic imaging and are not well incorporated in neonatal medicine.

Address: SPIN Program, San Diego Mothers' Milk Bank, Division of Neonatology, UC San Diego, 9300 Campus Point Drive MC7774, La Jolla, CA 92037, USA; Division of Pediatric Gastroenterology, Hepatology and Nutrition, Rady Children's Hospital-San Diego, 3020 Children's Way, San Diego, CA 92123. Electronic address: [email protected].

DOI: 10.1016/j.clp.2018.10.006

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MeSH Terms: Algorithms, Clinical Decision-Making, Enterocolitis, Necrotizing, Humans, Infant, Newborn, Infant, Premature, Intestinal Perforation, Intestines, Peristalsis, Radiography, Abdominal, Sensitivity and Specificity, Ultrasonography, Workflow