Valoración de riesgo de los hallazgos clínico-quirúrgicos y de anatomía patológica en neonatos con enterocolitis necrotizante que han recibido tratamiento quirúrgico.

F. Cáceres, D. Franco, J. Arboleda, P. Cuesta, E. Hidalgo, P. Astudillo

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

Resumen

Despite advances in neonatal care between 20% and 63% of children with necrotizing enterocolitis (NEC) require surgery. The aim was correlation the risk factors of infants with NEC "IIB / IIIA / IIIB" Bell and the clinical, surgical and pathological findings. In the children with diagnosis of NEC surgically treated, were analyzed of variables: clinical, surgical and pathological findings. We studied two groups: control (n=5) and NEC group (n=12). Comparisons were made between groups using the Mann-Whitney U- and the Spearman coefficient (r). To assess the risk of morbidity / mortality associated with the extent of intestinal resection we applied the Cox regression. We found differences (p < 0.05) between control group and the NEC group regarding Bell, the mean height of villi, Chiu and the number of goblet cells. In the NEC group we find correlations (p < 0.05) from Bell, regarding Chiu (r = 0.761), resection of the colon (r = 0.687), pneumatosis / perforation (r = 1) and the mean height of villi (r = -0.878). The gut reseccion was at 26 cm (3-107). We observed a risk of 1.04 in the neonatal period (p > 0.05) of mortality or consequence post-enterocolitis associated with the extent of bowel resection. The decrease in the average height of villi, the highest level of microscopic intestinal injury and reduced goblet cell population contributes to a greater extent of intestinal resection, which favors the risk of death or developing consequence post-enterocolitis.

Título traducido de la contribución[Evaluation of the risk of the clinical-surgical and pathology study findings in newborns with necrotizing enterocolitis who have received surgical treatment].
Idioma originalEspañol
Páginas (desde-hasta)165-170
Número de páginas6
PublicaciónCirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica
Volumen24
N.º3
EstadoPublicada - ago. 2011
Publicado de forma externa

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