Podcast 645: Necrotizing Enterocolitis and More

<p><strong>Contributor:  Peter Bakes, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;"><span style= "font-weight: 400;">Necrotizing Enterocolitis (NEC)</span></li> <li style="list-style: none; display: inline"> <ul> <li style="font-weight: 400;"><span style= "font-weight: 400;">Presents in the first few days of life (often in the NICU) to 3 weeks old</span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">Risk factors include prematurity, excess feeding, neonatal sepsis</span></li> <li style="font-weight: 400;"><span style= "font-weight: 400;">Pneumatosis Intestinalisis on abdominal xray caused by bacterial translocation into the bowel wall</span></li> <li style="font-weight: 400;"><span style= "font-weight: 400;">Treated with NG tube, bowel rest and surgical resection</span></li> </ul> </li> <li style="font-weight: 400;"><span style="font-weight: 400;">Other causes of pediatric abdominal pain</span></li> <li style="list-style: none; display: inline"> <ul> <li style="font-weight: 400;"><span style= "font-weight: 400;">Malrotation with volvulus</span></li> <li style="list-style: none; display: inline"> <ul> <li style="font-weight: 400;"><span style= "font-weight: 400;">Malrotation is caused by failure of intestinal rotation in the 8th-12th week of development</span></li> <li style="font-weight: 400;"><span style= "font-weight: 400;">Presents with bilious vomiting, which is a surgical emergency in a neonate</span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">90% of cases present in the first year of life, with most of these presenting in the first month</span></li> <li style="font-weight: 400;"><span style= "font-weight: 400;">Diagnosed with an upper GI series</span></li> </ul> </li> <li style="font-weight: 400;"><span style= "font-weight: 400;">Pyloric Stenosis</span></li> <li style="list-style: none; display: inline"> <ul> <li style="font-weight: 400;"><span style= "font-weight: 400;">Typically in males <2 months of age who pres