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Management of necrotising enterocolitis
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Necrotising enterocolitis (NEC) and focal intestinal perforation (FIP) in preterm babies are both associated with hypoxia, indomethicin treatment, and hypertonic feeds and may be different manifestations of the same disease. Laparotomy has been regarded as standard practice but recently peritoneal drainage has been proposed, particularly for infants with FIP, in an attempt to avoid laparotomy in sick infants. Surgeons in Los Angeles (Alda L Tam and colleagues.
; Alfonso Camberos and …