A common pathophysiological pathway of multifactorial aetiology,
rather than a uniform disease entity [1,
Necrotising enterocolitis (NEC) comes with a broad spectrum of clinical presentations - from mild and spontaneously resolving “medical” NEC to a fulminant course with rapid progression to massive bowel necrosis and death [3-5]. A simplified summary of the pathophysiological processes[3,
4] and possible relations to radiographic and ultrasonographic findings are given in Fig 1 . The...
Methods and materials
A web-based questionnaire on differential diagnosis,
impact of findings,
decision making etc.
in the management of NEC was created in two versions,
one for clinicians,
neonatologists and paediatric surgeons,
and one for radiologists.
The questionnaires were distributed through e-mailing to members of specialist organizations for paediatric radiology,
and paediatric surgery in Europe and the USA,
as well as through personal contacts. 70 neonatologists,
As shown in fig.
5, the most common purposes of imaging were confirmation of the diagnosis and guidance in decisions on surgery.
The reported differences between specialties regarding guidance on when to resume feedings seemed to be due to geographical differences in clinical traditions,
but differences regarding the importance of imaging for confirmation of the diagnosis were probably not. The perceived importance of AR findings is shown in fig 6. There were no significant differences...
Imaging is one of several important tools for confirmation of the diagnosis in clinically suspected NEC and timely detection of complications needing surgery.
Efforts to improve the diagnostic accuracy of available imaging techniques are ongoing,
but the findings will be of no use if their significance is not clear. We found a high degree of consensus about the most important signs of NEC and their significance,
with more than 90% agreement independent of specialty.
This is especially true...
Necrotizing enterocolitis is one disease with many origins and potential means of prevention. Pathophysiology .
Necrotizing Enterocolitis: The Mystery Goes On. Neonatology .
A Clinical Perspective of Necrotizing Enterocolitis.
and Future. Clin Perinatol .
Neonatal necrotizing enterocolitis: Clinical challenges,...