Open AccessPeritoneal drainage as definitive therapy in neonates with Necrotizing Enterocolitis irrespective of weight and gestational age
Author(s) -
Muhammad Riazul Haq,
Gamal El Saied,
Mazhar Rafi,
Hamida Gamal
Publication year - 2016
Publication title -
annals of king edward medical university
Language(s) - English
Resource type - Journals
eISSN - 2079-7192
pISSN - 2079-0694
DOI - 10.21649/akemu.v12i1.845
Subject(s) - medicine , necrotizing enterocolitis , pneumoperitoneum , gestational age , peritonitis , surgery , sepsis , pediatrics , pregnancy , laparoscopy , biology , genetics
Objective: To evaluate efficacy of peritoneal drainage(PD) in neonates with necrotizing enterocolitis (NEC) having pneumoperitoneam or peritonitis as a definitive tool of management irrespective of weight and gestational age(GA). Design:Prospective analysis of 12 cases. Place and duration:This study was conducted in 2 hospital in Taif Saudi Arabia from December2002 to September 2005. Subject and Methods: All neonates diagnosed as NEC with pneumoperitoneum or peritonitis were included in this study irrespective of weight and GA and peritoneal drainage was performed as a primary tool of management. Results:Pertoneal drainage was performed in 15 patients, but 3 of them were excluded as the cause of pneumoperitonium and peritonitis were other than NEC.Out of 12 neonates 89% improved after PD,only 1(8%) needed surgery.Overall survival was 75%.Main cause of mortality was a second attack of NEC and sepsis. Conclusion: PD is an effective way of treating neonates with NEC irrespective of weight and GA. PD not on ly stabilizez the neonates rather proves to be a definite treatment for the sick premature babies who can not tolerate general anesthesia and surgical stress.Mortality rate is high with second attack of NEC.