Serial intravesical pressure measurements can predict the presence and the severity of necrotizing enterocolitis.

摘要: Background and Aims  Necrotizing enterocolitis (NEC) which is accompanied with gastrointestinal ulceration necrosis one of the most important problems preterm infants in neonatal intensive care unit (NICU). Increased intra-abdominal pressure (IAP) detected among pediatric patients hospitalized undergoing surgery or trauma. This pathology, namely, abdominal compartment syndrome, causes ischemia hypoperfusion organs. Recently, effect increased IAP on NEC under focus this increase thought to be related onset by leading intestinal necrosis. In study, we aimed investigate if serial intravesical (IVP) measurements as an indirect indicator may help early diagnosis decision for besides predict mortality NEC. Material Method  A total number 61 a birth weight of ≤ 1,500 g NICU were included study. IVP values measured same nurse twice daily during their hospitalization through urinary catheter. The without compared. Results  Totally premature study grouped follows: group 0, control ( n  = 38); 1, medically treated  = 14); 2,  = 9). median 0 lower than other groups p  = 0.001). No statistically significant difference was between 1 2  = 0.155). A 10% measurement predicting development consecutive measurements. mean higher who died follow-up at compared survived  = 0.043). Conclusion  Serial high levels also cases