necrotizing enterocolitis…

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digestive system, infant intestines, nec, necrotizing enterocolitis, acquired disease, primarily in premature infants, sick newborns, intestinal tissue dies, in necrotizing enterocolitis, lining, the intestinal wall dies, tissue sloughs off, thought that a decreased blood flow, bowel keeps the bowel from producing the normal protective mucus, bacteria, in the intestine, a cause, at risk, premature infants, infants who, fed concentrated formulas, infants, nursery where an outbreak has occured, suggesting an infectious cause, infants, received blood exchange transfusions, abdominal distention, vomiting, feeding intolerance, blood, in the stool, visible, microscopic, lethargy, temperature instability, diarrhea, abdominal x-ray, stool, occult blood test, guaiac, elevated white blood cell count, cbc, thrombocytopenia, low platelet count, lactic acidosis, in an infant suspected of having necrotizing enterocolitis, feedings, gas is relieved, bowel by inserting a small tube, stomach, intravenous fluid replaces formula, breast milk, antibiotic therapy is started, infant's condition is monitored, abdominal x-rays, blood tests, blood gases, intestinal perforation, hole, peritonitis, inflammation, the abdominal wall, develops, surgery is indicated, dead bowel tissue is removed, a colostomy, ileostomy is performed, bowel is then reconnected several weeks, months later, the infection, inflammation have healed, necrotizing enterocolitis, serious disease, a death rate approaching 25%, outcome is improved by aggressive, early treatment, intestinal perforation, sepsis, peritonitis, intestinal stricture, a narrow area, lead to bowel obstruction, develops in an infant that is already ill, premature, most often develops the infant is still, in the hospital, symptoms of necrotizing enterocolitis develop, in an infant that has, been hospitalized, illness, prematurity, local emergency number.