Long-term follow-up of patients with necrotizing enterocolitis. J Pediatr Surg 2002 Jul;37(7):1048-1050; discussion 1048-1050
Date
06/22/2002Pubmed ID
12077769DOI
10.1053/jpsu.2002.33842Scopus ID
2-s2.0-0036302911 (requires institutional sign-in at Scopus site) 30 CitationsAbstract
BACKGROUND/PURPOSE: Despite the rise in the incidence of necrotizing enterocolitis (NEC), there is a paucity of data regarding long-term patient outcome. The authors examined functional outcome of infants with NEC (n = 103) treated at our institution between 1991 and 1995.
METHODS: The authors reviewed the medical records of infants who were treated both operatively and nonoperatively, n = 103. Variables examined included gestational age, birth weight, Bell stage (I through III), operations performed, and mortality rate. Telephone interviews assessed school enrollment, developmental delay, bowel function, and nutritional status.
RESULTS: Children treated operatively had a lower gestational age than those in the nonoperative group. Likewise, birth weight in the operative group was significantly lower. Sixty-three percent of patients had stage III, and the remainder had stage II disease. The telephone response rate was 61%. Mean age at follow-up was 7.5 +/- 2.5 years. All children ate by mouth. Nearly all children were toilet trained. All children were less than the 50th percentile for height and weight, and the majority (83%) were enrolled in school full time.
CONCLUSION: Infants with stage II and III NEC who are treated operatively or nonoperatively have a favorable long-term outcome.
Author List
Stanford A, Upperman JS, Boyle P, Schall L, Ojimba JI, Ford HRAuthor
Laura Cassidy PhD Associate Dean, Professor in the Institute for Health and Equity department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Body HeightBody Weight
Child
Child, Preschool
Comorbidity
Education
Enterocolitis, Necrotizing
Female
Follow-Up Studies
Humans
Infant
Male
Population Surveillance
Speech Disorders
Survival Rate
Toilet Training
Treatment Outcome
