Manejo quirúrgico temprano en pacientes con enterocolitis necrosante en el Hospital de Niños Dr. Roberto Gilbert Elizalde de Guayaquil en el periodo 2016-2017.

Abstract

Introduction: Necrotizing (NEC) is characterized by several degrees of intestinal necrosis, which occurs more frequently in preterm and low birth weight infants. Bell's staging classifies NEC according to its severity and depending on this a treatment is administered; which can be conservative or surgical, reserving the latter for patients with necrosis and intestinal perforation. The mortality rate varies between 15% and 30% regardless of the treatment. Objectives: Establish the role of laparotomy in the stages prior to intestinal perforation and the positive impact on morbidity and mortality of patients with NEC Methodology: This study reviews the clinical condition, comorbidities, risk factors and treatment of 274 newborns in a hospital in Guayaquil. Results: Of the total patients who presented NEC, 10 underwent surgery. Of the patients operated on in early stages, 3 of the 7 survived, while those operated on in late stages all died. Conclusions: According to the statistical analysis performed, it was found that early surgical intervention did decrease the mortality rate in contrast to those who received conservative treatment.