Eur J Pediatr Surg 2008; 18(3): 185-187
DOI: 10.1055/s-2008-1038440
Original Article

© Georg Thieme Verlag KG Stuttgart · New York

Fulminant Necrotising Enterocolitis Immediately Following Change to Low Birth Weight Formula Feeds

P. J. Hammond1 , M. E. Flett1 , M. De La Hunt2
  • 1Department of Paediatric Surgery, Royal Hospital for Sick Children, Yorkhill, Glasgow, United Kingdom
  • 2Department of Paediatric Surgery, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom
Weitere Informationen

Publikationsverlauf

received November 7, 2007

accepted after revision January 25, 2008

Publikationsdatum:
21. Mai 2008 (online)

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Abstract

Introduction: The aim of this study was to investigate how low birth weight formula (LBWF) feeds may be implicated in the pathogenesis of a particularly fulminant form of necrotising enterocolitis (NEC). Materials and Methods: A retrospective case note review was undertaken of cases of fulminant NEC between 1997 and 2003 with particular regard to the feeding history. Results: Nine preterm infants were stable and already tolerating full enteral feeds for a median of seven days prior to developing fulminant NEC within a median of 24 hours following the introduction of LBWF. Conclusions: Although fortification of feeds undoubtedly benefits many premature neonates, there may be a tendency for LBWF feeds to preempt the development of fulminant NEC. This possible temporal association between LBWF and fulminant NEC requires further investigation.

References

 Mr.
MRCS Philip J. Hammond

Department of Paediatric Surgery
Royal Hospital for Sick Children, Yorkhill

Dalnair Street

Glasgow G3 8SJ

United Kingdom

eMail: philiphammond@doctors.org.uk