Here are some high yield points about Necrotizing Enterocolitis.
1. It is the most common life threatening emergency of gastrointestinal tract in neonates.
2. Triad of - Intestinal ischemia, enteral nutrition and bacterial translocation.
3. Distal part of Ileum and proximal segment of colon are most frequently involved.
4. Coagulation necrosis is the characteristic histological finding in the intestinal specimens in Necrotizing Enterocolitis.
5. Pneumatosis intestinalis (air in the bowel) is diagnostic on X-ray.
6. Portal venous gas shadow is a sign of severe Necrotizing Enterocolitis on X-ray.
7. Most important risk factor is Prematurity.
8. Pneumoperitoneum is a sign of advanced NEC with perforation.
These points should help you in quick revision.
Thank you!
MD Mobarak Hussain (Maahii)
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