What are the characteristics of Bell stage IIA 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

Stage IIA characteristics are as follows:

  • Patient is mildly ill.

  • Diagnostic signs include the mild systemic signs present in stage IA

  • Intestinal signs include all of the signs present in stage I, with the addition of absent bowel sounds and abdominal tenderness

  • Radiographic findings show ileus and/or pneumatosis intestinalis

This diagnosis is sometimes referred to as "medical" necrotizing enterocolitis as surgical intervention is not needed to successfully treat the patient.


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