logging in or signing up nec abdullaalsaid Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 127 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: November 05, 2010 This Presentation is Public Favorites: 0 Presentation Description Necrotizing enterocolitis Comments Posting comment... Premium member Presentation Transcript Necrotizing enterocolitis : Necrotizing enterocolitis NEC BY DR. ABDULLA ALSAID PEDIATRIC SURGEON FRCSI N E C : N E C Is the most frequently neonatal surgical emergency and major cause of morbidity And mortality in the premature infant. RISK FACTORS : RISK FACTORS SEPSIS STRESS RESPIRATORY FAILURE HYPOXIA LOW BIRTH WT. PREMATURE HYPOTENTION PATHOPHYSIOLOGY : PATHOPHYSIOLOGY Hypoxia and hypotension in the premature Leading to uncontrolled splanchnic vasoconstriction causing hypo perfusion and ischemia of the neonatal intestinal tract. Slide 5: More than 90% of cases of NEC occurs after the the , initiation of enteral feeding Normal intestinal flora becomes opportunistic facing intestinal mucosal injury. Forming intramural gas dissecting the wall causing ischemia with end result of gangrene and perforation. HITOPATHOLOGICAL FEATURES : HITOPATHOLOGICAL FEATURES Sub mucosal edema hemorrhage micro vascular thrombosis Trasmural necrosis Intramural gas THE MOST COMMON SITES : THE MOST COMMON SITES STAGES OF NEC : STAGES OF NEC Stage 1 (suspected) -Risk factors -low grad fever -poor feeding -abdominal distension -occult blood Slide 9: Stage 11 (definitive) The above + pneumatosis intestinalis portal venous gas abdominal distension gross blood with stool Slide 10: Stage 111 (advanced) The above + septic shock marked GIT bleeding pneumoperitonium abdominal mass cellulites of abdominal wall CLASSIC SIGNS : CLASSIC SIGNS Abdominal distention Feeding intolerance Bilious vomiting In stool Occult or gross blood MANAGEMENT : MANAGEMENT DIAGNOSIS non complicated complicated TREATMENT medical surgical DIAGNOSIS : DIAGNOSIS Early diagnosis of NEC Complicated NEC TREATMENT : TREATMENT MEDICAL NPO ANTIBIOTICS TPN SURGICAL Absolute indications for surgery : Absolute indications for surgery Failure of medical treatment Pneumoperitonium Vague abdominal mass Erythema of abdominal wall Abdominal x-ray : Abdominal x-ray You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
nec abdullaalsaid Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 127 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: November 05, 2010 This Presentation is Public Favorites: 0 Presentation Description Necrotizing enterocolitis Comments Posting comment... Premium member Presentation Transcript Necrotizing enterocolitis : Necrotizing enterocolitis NEC BY DR. ABDULLA ALSAID PEDIATRIC SURGEON FRCSI N E C : N E C Is the most frequently neonatal surgical emergency and major cause of morbidity And mortality in the premature infant. RISK FACTORS : RISK FACTORS SEPSIS STRESS RESPIRATORY FAILURE HYPOXIA LOW BIRTH WT. PREMATURE HYPOTENTION PATHOPHYSIOLOGY : PATHOPHYSIOLOGY Hypoxia and hypotension in the premature Leading to uncontrolled splanchnic vasoconstriction causing hypo perfusion and ischemia of the neonatal intestinal tract. Slide 5: More than 90% of cases of NEC occurs after the the , initiation of enteral feeding Normal intestinal flora becomes opportunistic facing intestinal mucosal injury. Forming intramural gas dissecting the wall causing ischemia with end result of gangrene and perforation. HITOPATHOLOGICAL FEATURES : HITOPATHOLOGICAL FEATURES Sub mucosal edema hemorrhage micro vascular thrombosis Trasmural necrosis Intramural gas THE MOST COMMON SITES : THE MOST COMMON SITES STAGES OF NEC : STAGES OF NEC Stage 1 (suspected) -Risk factors -low grad fever -poor feeding -abdominal distension -occult blood Slide 9: Stage 11 (definitive) The above + pneumatosis intestinalis portal venous gas abdominal distension gross blood with stool Slide 10: Stage 111 (advanced) The above + septic shock marked GIT bleeding pneumoperitonium abdominal mass cellulites of abdominal wall CLASSIC SIGNS : CLASSIC SIGNS Abdominal distention Feeding intolerance Bilious vomiting In stool Occult or gross blood MANAGEMENT : MANAGEMENT DIAGNOSIS non complicated complicated TREATMENT medical surgical DIAGNOSIS : DIAGNOSIS Early diagnosis of NEC Complicated NEC TREATMENT : TREATMENT MEDICAL NPO ANTIBIOTICS TPN SURGICAL Absolute indications for surgery : Absolute indications for surgery Failure of medical treatment Pneumoperitonium Vague abdominal mass Erythema of abdominal wall Abdominal x-ray : Abdominal x-ray