ArticlePediatric surgery international2017
Advantages of abdominal ultrasound in the management of infants with necrotizing enterocolitis.
Article in Pediatric surgery international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Methods of identifying surgical Necrotizing Enterocolitis-a systematic review and meta-analysis.Pediatric research · 2025Pooled it
- International evidence-based guidelines on Point of Care Ultrasound (POCUS) for critically ill neonates and children issued by the POCUS Working Group of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC).Critical care (London, England) · 2020Guideline
- Value of abdominal ultrasound in management of necrotizing enterocolitis: a systematic review and meta-analysis.Pediatric surgery international · 2018Pooled it
- Comparison of detection frequencies between ultrasonography and abdominal radiography for abnormal signs in necrotizing enterocolitis: a systematic review and meta-analysis.Frontiers in pediatrics · 2026Article
- Application of abdominal ultrasonography in surgical necrotizing enterocolitis: a retrospective study.Frontiers in microbiology · 2023Article
- Value of abdominal ultrasonography in predicting intestinal resection for premature infants with necrotizing enterocolitis.BMC gastroenterology · 2022Review
- Doppler ultrasound assessment of splanchnic perfusion and heart rate for the detection of necrotizing enterocolitis.Pediatric surgery international · 2021Article
- Implementation of bowel ultrasound practice for the diagnosis and management of necrotising enterocolitis.Archives of disease in childhood. Fetal and neonatal edition · 2021Review
- Efficacy of abdominal ultrasound inspection in the diagnosis and prognosis of neonatal necrotizing enterocolitis.Clinics (Sao Paulo, Brazil) · 2021Article
- Shedding light on pediatric diseases: multispectral optoacoustic tomography at the doorway to clinical applications.Molecular and cellular pediatrics · 2020Review
- Application of abdominal sonography in diagnosis of infants with necrotizing enterocolitis.Medicine · 2019Article
- Comparison of abdominal radiographs and sonography in prognostic prediction of infants with necrotizing enterocolitis.Pediatric surgery international · 2018Article
- Technical aspects of abdominal ultrasound and color Doppler assessment of bowel viability in necrotizing enterocolitis.Pediatric radiology · 2018Article
- Internal Hernia Masquerading As Necrotizing Enterocolitis.Frontiers in pediatrics · 2017Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The purpose of this study was to assess the prognostic value of abdominal color Doppler ultrasound (US) in determining predictors of early complications of NEC.
methodsFifty-one consecutive infants with stage Ia to IIIa NEC were prospectively included in the study between 2013 and July 2016. At least one abdominal US examination was performed in each patient.
resultsAccording to abdominal color Doppler US, neonates with NEC Ia stage in most cases (80%) found increased bowel wall perfusion. For the stage IIa typical signs were intramural gas and decreased bowel peristalsis. Patients in IIb stage had bowel wall thinning (less than 1 mm), decreased or absence of bowel peristalsis and absence of perfusion. In stage IIIa 71% of the cases had absence of bowel peristalsis and intramural gas. Absence of perfusion and bowel wall thinning less than 1 mm was found in 86% of neonates. One patient had portal venous gas. Nine patients with IIb and seven neonates with IIIa stage of NEC had laparotomy. In all 16 cases, US signs of bowel wall necrosis were verified intraoperative.
conclusionUS provides an opportunity to image the bowel loops in cross section with dynamic evaluation of perfusion and peristalsis. Our study shows that abdominal US examination in neonates with NEC can highlight the presence of intestinal necrosis before the onset of intestinal perforation. Surgically intervening earlier in the clinical pathway of NEC may lead to improved outcomes.
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