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Long-term Outcomes of Severe Surgical Necrotizing Enterocolitis by Han, Sam M.; Knell, Jamie; Henry, Owen; Riley, Heather; Hong, Charles R.; Staffa, Steven J.; Modi, Biren P.; Jaksic, Tom is a Medicine article available to read on EtoBox.

What is Long-term Outcomes of Severe Surgical Necrotizing Enterocolitis about?

## Purpose: We sought to describe long-term outcomes of infants with severe surgical necrotizing enterocolitis (nec). ## Methods: Data were collected on infants with surgical nec (2009-2018). severe surgical nec was defined by extensive bowel loss with residual bowel length <30 cm, and "nec totalis" was identified per operative report. post-operative management and long-term outcomes were assessed, including enteral autonomy, severe neurodevelopmental disability, and educational attainment. ## Results: Of 268 infants with surgical nec, 41 (15%) had severe surgical nec, and 14/41 were identified as "nec totalis". zero severe nec vs. 8 (57%) "nec totalis" patients were placed on comfort measures following initial surgery (p < 0.001). twenty-five patients (93%) with severe nec survived vs 3/6 with "nec totalis" (p < 0.001). the 28 survivors (68%) were followed for a median (iqr) duration of 8(4,10) years. nine (32%) with severe nec were weaned from parenteral nutrition. eight (29%) had ≥1 marker for severe neurodevelopmental disability, and 11/16(69%) (7-16 years) were attending school at last follow-up. ## Conclusion: Long-term survival is excellent following initial discharge, and a

Who reads Long-term Outcomes of Severe Surgical Necrotizing Enterocolitis?

Author

Han, Sam M.; Knell, Jamie; Henry, Owen; Riley, Heather; Hong, Charles R.; Staffa, Steven J.; Modi, Biren P.; Jaksic, Tom

Publisher

Elsevier Science; Elsevier ; W. B. Saunders Co., Ltd.; Elsevier BV (ISSN 0022-3468)

Published

2020

Language

EN

Field

Medicine (Health Sciences)