Revista de la Facultad de Medicina (Oct 1999)
Enterocolitis necrosante (enteropatía isquémica aguda), presente más allá de la etapa neonatal, en un hospital pediátrico de Nivel III
Abstract
Objective: describe the clinic and paraclinic profile ofNecrotizing Enterocholitis (NEC) cases, during two years, at infants Ward of La Misericordia Hospital, Bogotá. Measurement: sociodemograpbic variables , related with chief complaint, inicial clinical condition and evolution were obtained and processed. The data was gathered for summaries and correlations. Results: The study sample was constituted by the clinical records of 24 patients. Prolonged episodes of diarrhea (with inadequate ambulatory treatment), nutritional disorders and important dehydration were commons factors. There was indirect evidence of circulatory collapse at entry that was not detected nor treated accurately. Transient Renal damage was presento The illness was clinically evident toward 5th day ofhospitalization. The stay time was near 24 days. There was no mortality in the series. Conclusions: twelve specific hypothesis and a general physiopathological model are proposed. If the model is certain, the subject matter of this study is asevere and potential complication of the Acute Diarrhea Syndrome. AH the efforts to aim the prevention of infants diarrhea or adequate primary treatment, can determine a decrease in the incidence of tbis severe disorder in our country.
