PEDIATRICS Vol. 78 No. 2 August 1986, pp. 273-277
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Acidosis and Hepatic Portal Venous Gas: Indications for Surgery in Necrotizing Enterocolitis

Robert Buras MD1, Philip Guzzetta MD1, Gordon Avery PhD1, and Cheryl Naulty MD1

1 From the Departments of Surgery and Neonatology, Children's Hospital National Medical Center, Washington, DC

A retrospective review of cases of necrotizing enterocolitis seen at the Children's Hospital National Medical Center during the past 5 years was performed to identify factors that indicate a need for surgical intervention. The study group consisted of 92 neonates. Persistent acidosis and hepatoportal venous gas were significantly more common in babies requiring surgery than in those who were managed medically. Other physical, radiologic, and laboratory factors did not occur more frequently in those children going to surgery. Neonates with hepatoportal venous gas or persistent acidosis should be treated aggressively, and surgical intervention should be considered early in this group. Such an approach may serve to reduce morbidity and mortality in the future.

Key Words: necrotizing enterocolitis • neonate • acidosis • hepatoportal venous gas

Submitted on June 24, 1985
Accepted on October 17, 1985




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C. Cavett
Portal Venous Gas May Not Require Surgery in NEC
AAP Grand Rounds, June 1, 2005; 13(6): 61 - 62.
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