Necrotizing Enterocolitis - Treatment Overview
No matter what kind of treatment your newborn needs for necrotizing enterocolitis, it can be stressful to watch a fragile newborn undergo medical treatment. You may find that you feel overwhelmed by having a new baby with health problems. You may feel frustrated if you cannot hold your baby as often as you want or if you cannot breast-feed your baby, but instead have to pump your milk, which is then given to your baby through a tube. It can be helpful to talk about your feelings and concerns with a social worker or counselor. It is also a good idea to get to know the team of health professionals involved in your baby's care and to ask them questions about anything you do not understand.
Newborns with necrotizing enterocolitis may be treated by many health professionals, including:
- Neonatologists.
- Gastroenterologists.
- Dietitians.
- Pediatric surgeons.
How much treatment your baby needs depends on how severely his or her intestines are damaged.
All newborns with necrotizing enterocolitis require:
- Temporary use of a nasogastric tube, which is inserted through the nose into the stomach to remove extra fluids and gas from the intestines.
- Daily measurement of your newborn's belly. If your baby's belly gets smaller, or he or she is able to pass stools, then the intestines are working normally again.
- A course of antibiotics.
If your baby has mild necrotizing enterocolitis, treatment generally lasts 72 hours. If your baby has moderate necrotizing enterocolitis, treatment may continue for 7 to 10 days.
If your baby has severe necrotizing enterocolitis, treatment can last up to 21 days and may include:
- Oxygen therapy and possible treatment with a ventilator to make sure your baby is getting enough oxygen.
- A series of abdominal X-rays to see if the infection in the intestines is getting better or worse.
- Blood transfusions when there is a lot of bleeding or infection.
- Drugs such as dopamine that cause the heart to pump more blood, to increase blood pressure.
If your baby's intestines are healing, he or she may continue to get IV fluids while oral feedings are started. Most babies who have mild or moderate necrotizing enterocolitis will not have any ongoing problems with digestion, nutrition, and growth.
Surgery
If your baby has severe necrotizing enterocolitis and has a hole in the intestines, seriously damaged intestinal tissue, or bowel obstruction, he or she may need surgery. If surgery is required, it has two steps:
- In the first surgery, the upper part of the intestine is brought to the surface of the belly and a colostomy or ileostomy is created. The lower part of the intestine then does not have to digest food, which allows it to heal. Also, severely damaged sections of the intestine are removed.
- The second
surgery is performed weeks or months later, after the damaged intestine has
healed. This surgery involves:
- Closing the colostomy or ileostomy.
- Surgically reconnecting a healthy upper section of the intestine to a healthy lower section (end-to-end anastomosis). This surgery allows body waste to pass normally through the intestines and leave the body through the rectum.
WebMD Medical Reference from Healthwise
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