What are the indications for surgical intervention in necrotizing enterocolitis (NEC)?

Updated: Dec 27, 2017
  • Author: Shelley C Springer, JD, MD, MSc, MBA, FAAP; Chief Editor: Muhammad Aslam, MD  more...
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Answer

The principal indication for operative intervention in NEC is perforated or necrotic intestine, which is most compellingly predicted by pneumoperitoneum. Other indications include the following:

  • Erythema in the abdominal wall

  • Gas in the portal vein

  • Positive paracentesis

  • Clinical deterioration

See Treatment and Medication for more detail.


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