Munson Health
 
Necrotizing Enterocolitis

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by Lucey JR

(NEC)

 

Treatment

Most babies who get NEC have a complete recovery. Treatment usually takes between 3 to 14 days. Talk with your doctor about the best treatment plan for your baby. Treatment options include combinations of the following:

Empty the Stomach

Air or liquid in your baby’s intestine can make the condition worse. You will be asked to stop feeding your baby. A tube will be placed through the baby's nose into the stomach. This tube will remove liquid and air from your baby’s stomach. This helps the intestine heal.
Nutrition and fluids will be given to your baby through an IV. An IV can deliver nutrition directly into your child's blood stream.

Antibiotics

Antibiotics are used to fight infections caused by bacteria. Your baby may be given antibiotics if an infection is present or possible.

X-Rays

X-rays will be done often. They will help your doctor see the progress of the NEC.

Oxygen

NEC can cause swelling in the stomach. This may make it difficult for the baby to breathe. Oxygen may be given to improve the baby's oxygen levels. A ventilator may be used to help or take over breathing for the baby.

Infection Prevention

Some infections can pass easily through touch or near contact. Certain steps can keep these infections from spreading. You and your baby's caretakers may wear gowns and gloves to protect your baby and others. Regular handwashing is also important in any infection prevention.

Surgery

For some, the damage to the intestine may be severe. In this case, surgery may be needed.
Surgery is done to remove the damaged part of the intestine. The healthy parts are sewn back together when possible. Sometimes there is too much damage to be able to sew the intestine back together. In this case, part of the intestine will be connected to an opening in the abdomen wall. The opening will allow waste products to pass to a bag outside the body.
 

RESOURCES

Eunice Kennedy Shriver National Institute of Child Health and Human Development
http://www.nichd.nih.gov

Healthy Children—American Academy of Pediatrics
http://www.healthychildren.org

 

CANADIAN RESOURCES

Health Canada
http://www.hc-sc.gc.ca

Public Health Agency of Canada
http://www.phac-aspc.gc.ca

 

References


Cincinnati Children's Hospital Medical Center. Evidence-based care guideline for necrotizing enterocolitis (NEC) among very low birth weight infants. Cincinnati (OH): Cincinnati Children's Hospital Medical Center; 2010 Oct 7. Accessed July 25, 2012.


Necrotizing enterocolitis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated June 2, 2014. Accessed August 21, 2014.


Pietz J, Achanti B, Lilien L, Stepka E, Mehta S. Prevention of necrotizing enterocolitis in preterm infants: A 20-year experience. Pediatrics. 2007; 119:164-170.

 

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