Neonatal necrotizing enterocolitis. Survival, management, and complications: a 25-year study

J. N. Schullinger, D. L. Mollitt, C. D. Vinocur, T. V. Santulli and J. M. Driscoll Jr

One hundred sixteen infants with neonatal necrotizing enterocolitis (NEC) have been seen during a 25-year period (1955 through 1979). Prior to 1972, the survival rate was 17%; subsequently, it has been 68%. This increased survival is attributed to (1) improved physiologic care of the critically ill infant, (2) the institution of a standard management protocol, and (3) early diagnosis and treatment. Survival following neonatal NEC is attended by a significant incidence of intestinal stricture (21%); however, physical development has been normal and there have been few long-term gastrointestinal tract problems.

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