Podcast 645: Necrotizing Enterocolitis and More

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Contributor: Peter Bakes, MD

Educational Pearls:

  • Necrotizing Enterocolitis (NEC)
    • Presents in the first few days of life (often in the NICU) to 3 weeks old
    • Risk factors include prematurity, excess feeding, neonatal sepsis
    • Pneumatosis Intestinalisis on abdominal xray caused by bacterial translocation into the bowel wall
    • Treated with NG tube, bowel rest and surgical resection
  • Other causes of pediatric abdominal pain
    • Malrotation with volvulus
      • Malrotation is caused by failure of intestinal rotation in the 8th-12th week of development
      • Presents with bilious vomiting, which is a surgical emergency in a neonate
      • 90% of cases present in the first year of life, with most of these presenting in the first month
      • Diagnosed with an upper GI series
    • Pyloric Stenosis
      • Typically in males

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