TY - CHAP M1 - Book, Section TI - Management of Perforated Necrotizing Enterocolitis A1 - Dimmitt, Reed A2 - Stevenson, David K. A2 - Cohen, Ronald S. A2 - Sunshine, Philip PY - 2015 T2 - Neonatology: Clinical Practice and Procedures AB - Necrotizing enterocolitis (NEC) continues to be associated with extreme prematurity, resulting in increased morbidity and mortality. Various studies have reported an incidence of NEC of 14% in infants with a birth weight of 501–750 g and an odds ratio for death of 14 for nonsurgical NEC and 25 for surgical NEC. There remains some controversy regarding the diagnosis of perforated NEC vs spontaneous intestinal perforation, and an ongoing multicenter, randomized, controlled trial is attempting to better define the 2 conditions. Regardless of the etiology, severe inflammation and subsequent necrosis, ischemia, perforation, and peritonitis may result in not only death but also severe neurodevelopmental impairment and intestinal failure (IF). SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1109798838 ER -