Inside Health Care: Neonatal Intensive Care -Who Decides? Who Pays? Who Can Afford It?

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Health care in the US is facing a crisis, but there is polarization and disagreement among policy makers and the public about how to solve this crisis. The overall outcome is ranked much lower than ...
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Decision Making in Extremely Low Birth Weight Infants with Necrotizing Enterocolitis

Pp. 123-131 (9)

Reed A. Dimmitt

Abstract

Necrotizing enterocolitis is associated with increased morbidity and mortality. Most preterm infants with NEC are managed medically. The two common surgical interventions for intestinal perforation are exploratory laparotomy and peritoneal drainage. Two cases are presented to illustrate the complicated clinical course and current management at our institution.

Keywords:

Prematurity, NICU, Necrotizing enterocolitis, Surgical NEC, Intestinal perforation, Explorative laparotomy, Peritoneal drainage, Ostomy, Cholestasis, Enteroplasty, Intestinal rehabilitation, Transplantation.

Affiliation:

Divisions of Neonatology and Pediatric GI/Nutrition, University of Alabama at Birmingham, 1600 7th Avenue South, Jarman F. Lowder Building, Suite 618, Birmingham, AL 35233, USA.