ULTRASOUND DIAGNOSIS OF NECROTIZING ENTEROCOLITIS
https://doi.org/10.21518/2079-701X-2018-2-215-221
Abstract
The necrotizing enterocolitis remains the basic disease leading to a mortality of mainly prematurely born children with low and extremely low body weight. The percent of newborns with a necrotizing enterocolitis in recent years tends to increase that is connected with intensive development of a neonatology and resuscitation. The high prevalence of the necrotizing enterocolitis and the lethality accompanying it among prematurely born children remain at the high level, despite numerous researches on optimization of the principles of nursing and treatment, and in most cases meets at children at a stage of perforation of a wall of a gut and mekonialny peritonitis. Diagnostics at early stages of the begun pathological process in digestive tract at small children is extremely complicated. Recognition of precursory symptoms of a terrible disease is one of the first tasks of children’s surgeons and neonatolog. Radiodiagnosis serves as the most reliable diagnostic method at emergence of a clinical picture of a necrotizing enterocolitis. Definition of the most significant ultrasonic symptoms of a necrotizing enterocolitis remains an important task for ultrasonographers, neonatolog and children’s surgeons.
About the Authors
M. I. PykovRussian Federation
MD, Prof.
MoscowV. V. Balashov
Russian Federation
MD.
MoscowE. A. Filippova
Russian Federation
MD.
Moscow
V. Y. Bosin
Russian Federation
MD, Prof.
MoscowCh. M. Khizroeva
Russian Federation
MD
References
1. Кучеров Ю.И., Жиркова Ю.В.,. Шишкина Т.Н., Михалев И.А., Арса А.В., Чеботаева Л.И. Диагностика и лечение некротического энтероколита у недоношенных. Российский вестник перинатологии и педиатрии, 2014, 6: 18-25.
2. Нассер М.М.А.М. Заболеваемость и лечебнодиагностическая тактика ведения новорожденных с язвенно-некротическим энтероколитом. Бюллетень медицинских интернет-конференций, 2014, 4(5). ID: 2014-05-4-Т-3811.
3. Bhatt D, Travers C, Patel RM, Shinnick J, Arps K, Keene S, Raval MV. Predicting Mortality or Intestinal Failure in Infants with Surgical Necrotizing Enterocolitis. J. Pediatr, 2017 Dec, 191: 22-27.
4. Zhang LP, Lei XP, Luo LJ, Dong WB. Risk factors for necrotizing enterocolitis in very preterm infants: a case-control study in southwest China. J Matern Fetal Neonatal Med, 2017 Nov, 2: 1-6.
5. Frost BL, Modi BP, Jaksic T, Caplan MS. New Medical and Surgical Insights Into Neonatal Necrotizing Enterocolitis: A Review. JAMA Pediatr, 2017 Jan 1, 171(1): 83-88.
6. Velazco CS, Fullerton BS, Hong CR, Morrow KA, Edwards EM3, Soll RF, Jaksic T, Horbar JD, Modi BP. Morbidity and mortality among «big» babies who develop necrotizing enterocolitis: A prospective multicenter cohort analysis. J Pediatr Surg, 2017 Oct 12. pii: S 0022-34 (17) 30650-4.
7. Parigi GB. Pathogenesis and treatment of necrotizing enterocolitis. Lecture. Dept. of Paediatric Surgery. University of Pavia and «S. Matteo». Research Hospital: Pavia, 2010, 11.
8. Федоров Д.А. Хирургическое лечение некротизирующего энтероколита у новорожденных с синдромом интраабдоминальной гипертензии (экспериментально-клиническое исследование): Автореф. дисс. … канд. мед. наук. Омск 2012, 23.
9. Katheleen M, Moss L. Necrotizing enterocolitis. Clinics inperinatology, 2012: 387-401.
10. Караваева С.А. СПб. Некротический энтероколит – диагностика и лечение. http://www.medico.ru/articles/surgery/article_003.htm.
11. Дамиров О.Н. Обоснование тактики лечения хирургического лечения язвенно-некротического энтероколита у новорожденных: Автореф. дисс. … канд. мед.наук. Волгоград, 2015, 23.
12. Choi YS, Song IG. Fetal and preterm infant microbiomes: a new perspective of necrotizing enterocolitis. Korean J Pediatr, 2017 Oct, 60 (10): 307-311.
13. Esposito F, Mamone R, Di Serafino M, Mercogliano C, Vitale V, Vallone G, Oresta P. Diagnostic imaging features of necrotizing enterocolitis: a narrative review. Quant Imaging Med Surg, 2017 Jun, 7(3): 336-344.
14. Hashem RH, Mansi YA, Almasah NS, Abdelghaffar S. Doppler ultrasound assessment of the splanchnic circulation in preterms with neonatal sepsis at risk for necrotizing enterocolitis. J Ultrasound, 2017 Jan 23, 20(1): 59-67.
15. Staryszak J, Stopa J, Kucharska-Miąsik I, Osuchowska M, Guz W, and Witold. Usefulness of Ultrasound Examinations in the Diagnostics of Necrotizing Enterocolitis. Polih Journal of Radiology, 2015, 80: 1–9.
16. Aliev MM, Dekhqonboev AA, Yuldashev RZ. Advantages of abdominal ultrasound in the management of infants with necrotizing enterocolitis. Pediatr Surg Int, 2017 Feb, 33(2): 213-216.
17. Пыков М.И., Гуревич А.И., Османов И.М., Галкина Я.А., Полещук Л.А., Балашов В.В. Детская ультразвуковая диагностика: Учебник. Том 1. Гастроэнтерология. Под ред. М.И. Пыкова. М.: Издательский дом Видар-М, 2014. 256 с.
18. Миронюк О.А., Пыков М.И. Ультразвуковые симптомы некротического энтероколита. Ультразвуковая и функциональная диагностика, 2013, 4: 49-54.
19. Barczuk-Falęcka M, Bombiński P, Majkowska Z, Brzewski M, Warchoł S. Hepatic Portal Venous Gas in Children Younger Than 2 Years Old - Radiological and Clinical Characteristics in Diseases Other Than Necrotizing Enterocolitis. Pol J Radiol, 2017 May 19, 82: 275-278.
Review
For citations:
Pykov MI, Balashov VV, Filippova EA, Bosin VY, Khizroeva CM. ULTRASOUND DIAGNOSIS OF NECROTIZING ENTEROCOLITIS. Meditsinskiy sovet = Medical Council. 2018;(2):215-221. (In Russ.) https://doi.org/10.21518/2079-701X-2018-2-215-221