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dc.typeArtigo de periódicopt_BR
dc.titleDilatation Of Bowel Loops On Radiological Images: Prognostic Value In Necrotizing Enterocolitis [valor Preditivo Da Distensão De Alças Intestinais Em Radiografias No Prognóstico De Enterocolite Necrosante]pt_BR
dc.contributor.authorMartins D.L.pt_BR
dc.contributor.authorGoncalves A.pt_BR
dc.contributor.authorDabus G.D.C.pt_BR
dc.contributor.authorBustorff-Silva J.M.pt_BR
dc.contributor.authorOlimpio H.O.pt_BR
dc.contributor.authorAlvares B.R.pt_BR
dc.contributor.authorSbragia L.pt_BR
unicamp.authorMartins, D.L., Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-Unicamp), Campinas, SP, Brazilpt_BR
unicamp.authorGonçalves, A., Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-Unicamp), Campinas, SP, Brazilpt_BR
unicamp.authorDabus, G.D.C., Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-Unicamp), Campinas, SP, Brazilpt_BR
unicamp.authorBustorff-Silva, J.M., MS-5, Department of Surgery, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-Unicamp), Campinas, SP, Brazilpt_BR
unicamp.authorOlímpio, H.O., Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-Unicamp), Campinas, SP, Brazilpt_BR
unicamp.authorAlvares, B.R., MS-3, Department of Radiology, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-Unicamp), Campinas, SP, Brazilpt_BR
unicamp.authorSbragia, L., MS-5, Department of Surgery, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-Unicamp), Campinas, SP, Brazil, Universidade Estadual de Campinas - Unicamp, Rua Alexander Fleming, 181, Barão Geraldo, Campinas, SP, 13084-971, Brazilpt_BR
dc.description.abstractOBJECTIVE: To evaluate the prognostic value of bowel loops dilatation as a finding on radiographs in the development and mortality of neonates with necrotizing enterocolitis. MATERIALS AND METHODS: On abdominal radiographs of 53 patients for diagnostic suspicion of necrotizing enterocolitis, the major diameters of dilated bowel loops (AD) were measured, as well as the distance between the upper border of the first lumbar vertebra and the lower border of the second one (L1-L2), and the distance between the lateral borders of the first lumbar vertebra (L1) pedicles, and the subsequent association between AD/L1-L2, AD/L1. This measure was considered as a possible determining factor for potential complications, surgical intervention and mortality. RESULTS: The patients who needed surgical management and who had complications during progression and died of the disease had showed increased AD and AD/L1-L2 (p < 0.05). AD/L1 values and site of the most dilated bowel loop were not different in the groups with unfavorable progression. CONCLUSION: Bowel loop dilatation detected on initial supine abdominal radiographs suggests a worst prognosis in necrotizing enterocolitis. Furthermore, measurement of the most dilated bowel loop on these radiographs is a simple and reproducible method that adds diagnostic and prognostic information.en
dc.relation.ispartofRadiologia Brasileirapt_BR
dc.identifier.citationRadiologia Brasileira. , v. 40, n. 5, p. 297 - 301, 2007.pt_BR
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dc.description.referenceUauy, R.D., Fanaroff, A.A., Korones, S.B., Phillips, E.A., Phillips, J.B., Wright, L.L., Necrotizing enterocolitis in very low birth weight infants: Biodemographic and clinical correlates. National Institute of Child Health and Human Development Neonatal Research Network (1991) J Pediatr, 119, pp. 630-638pt_BR
dc.description.referenceNeu, J., Neonatal necrotizing enterocolitis: An update (2005) Acta Paediatr Suppl, 94, pp. 100-105pt_BR
dc.description.referenceChandler, J.C., Hebra, A., Necrotizing enterocolitis in infants with very low birth weight (2000) Semin Pediatr Surg, 9, pp. 63-72pt_BR
dc.description.referenceHack, M., Wright, L.L., Shankaran, S., Very-low-birth-weight outcomes of the National Institute of Child Health and Human Development Neonatal Network, November 1989 to October 1990 (1995) Am J Obstet Gynecol, 172, pp. 457-464pt_BR
dc.description.referenceFoglia, R.P., Necrotizing enterocolitis (1995) Curr Probl Surg, 32, pp. 757-823pt_BR
dc.description.referencePellegrini, M., Lagrasta, N., García García, C., Campos Serna, J., Zicari, E., Marzocca, G., Neonatal necrotizing enterocolitis: A focus on (2002) Eur Rev Med Pharmacol Sci, 6, pp. 19-25pt_BR
dc.description.referenceBell, M.J., Temberg, J.L., Feigin, R.D., Neonatal necrotizing enterocolitis. Therapeutic decisions based upon clinical staging (1978) Ann Surg, 187, pp. 1-7pt_BR
dc.description.referenceBuonomo, C., The radiology of necrotizing enterocolitis (1999) Radiol Clin North Am, 37, pp. 1187-1198. , VIIpt_BR
dc.description.referenceMolik, K.A., West, K.W., Rescorla, F.J., Scherer, L.R., Engum, S.A., Grosfeld, J.L., Portal venous air: The poor prognosis persists (2001) J Pediatr Surg, 36, pp. 1143-1145pt_BR
dc.description.referenceEdwards, D.K., Size of gas-filled bowel loops in infants (1980) AJR Am J Roentgenol, 135, pp. 331-334pt_BR
dc.description.referenceNowick, P.T., Ischemia and necrotizing enterocolitis: Where, when and how (2005) Semin Pediatr Surg, 14, pp. 152-158pt_BR
dc.description.referencePierro, A., The surgical management of necrotising enterocolitis (2005) Early Hum Dev, 81, pp. 79-85pt_BR
dc.description.referenceHackam, D.J., Upperman, J.S., Grishin, A., Ford, H.R., Disordered enterocyte signaling and intestinal barrier dysfunction in the pathogenesis of necrotizing enterocolitis (2005) Semin Pediatr Surg, 14, pp. 49-57pt_BR
dc.description.referenceCovert, R.F., Neu, J., Elliot, M.J., Rea, J.L., Gimotty, P.A., Factors associated with age of onset of necrotizing enterocolitis (1989) Am J Perinatol, 6, pp. 455-460pt_BR
dc.description.referenceStoll, B.J., Epidemiology of necrotizing enterocolitis (1994) Clin Perinatol, 21, pp. 205-218pt_BR
dc.description.referenceRicketts, R.R., Surgical treatment of necrotizing enterocolitis and the short bowel syndrome (1994) Clin Perinatol, 21, pp. 365-387pt_BR
dc.description.referenceGómez Tellado, M., García Fernández, E., País Piñeiro, E., Necrotizing enterocolitis: A 10-year survey (1995) Cir Pediatr, 8, pp. 20-23pt_BR
dc.description.referenceDaneman, A., Woodward, S., de Silva, M., The radiology of neonatal necrotizing enterocolitis (NEC). A review of 47 cases and the literature (1978) Pediatr Radiol, 7, pp. 70-77pt_BR
dc.description.referenceSharma, R., Tepas 3rd, J.J., Hudak, M.L., Portal venous gas and surgical outcome of neonatal necrotizing enterocolitis (2005) J Pediatr Surg, 40, pp. 371-376pt_BR
dc.description.referenceWexler, H.A., The persistent loop sign in neonatal necrotizing enterocolitis: A new indication for surgical intervention? (1978) Radiology, 126, pp. 201-204pt_BR
dc.description.referenceLeonard Jr, T., Johnson, J.F., Pettett, P.G., Critical evaluation of the persistent loop sign in necrotizing enterocolitis (1982) Radiology, 142, pp. 385-386pt_BR
dc.description.referenceKosloske, A.M., Indications for operation in necrotizing enterocolitis revisited (1994) J Pediatr Surg, 29, pp. 663-666pt_BR
dc.description.referenceKogutt MS. Necrotizing enterocolitis of infancy. Early roentgen patterns as a guide to prompt diagnosis. Radiology 1979;130:367-370Lee, J.S., Polin, R.A., Treatment and prevention of necrotizing enterocolitis (2003) Semin Neonatol, 8, pp. 449-459pt_BR
dc.description.referenceBirnbaum, B.A., Jeffrey Jr, R.B., CT and sonographic evaluation of acute right lower quadrant abdominal pain (1998) AJR Am J Roentgenol, 170, pp. 361-371pt_BR
dc.description.referenceRoy, A., Tayeb, M., Al-Khogeer, S., Outcome in definite and advanced neonatal necrotizing enterocolitis (2004) Saudi Med J, 25, pp. 746-752pt_BR
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