Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/104408
Type: Artigo de periódico
Title: Dilatation 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]
Author: Martins D.L.
Goncalves A.
Dabus G.D.C.
Bustorff-Silva J.M.
Olimpio H.O.
Alvares B.R.
Sbragia L.
Abstract: OBJECTIVE: 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.
Editor: 
Rights: aberto
Identifier DOI: 10.1590/S0100-39842007000500004
Address: http://www.scopus.com/inward/record.url?eid=2-s2.0-38349158992&partnerID=40&md5=d5ba8d04c9bd4bf0ce2ead55a311e3d6
Date Issue: 2007
Appears in Collections:Unicamp - Artigos e Outros Documentos

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