What does NEC stand for in surgery?
Necrotising enterocolitis (NEC) is a serious illness in which tissues in the intestine (gut) become inflamed and start to die.
What is NEC infection?
Necrotizing enterocolitis (NEC) is a serious gastrointestinal problem that mostly affects premature babies. The condition inflames intestinal tissue, causing it to die. A hole (perforation) may form in your baby’s intestine. Bacteria can leak into the abdomen (belly) or bloodstream through the hole.
What is the treatment for NEC?
The mainstay of treatment for patients with stage I or II necrotizing enterocolitis (NEC) is nonoperative management. The initial course of treatment consists of stopping enteral feedings, performing nasogastric decompression, and initiating broad-spectrum antibiotics.
Can NEC come back?
Many babies who recover from NEC do not have further problems. But it is possible that other problems may develop, especially if your baby has had surgery. These problems can include the following: NEC coming back (reoccurring).
What is NEC in coding?
Codes with “other specified” or “not elsewhere classified (NEC)” notated in the title are for use when the information in the medical record provides detail for a code that does not exist in ICD-10 and the provider is left with choosing a more generalized code, or in other words, it is “as good as it gets.”
What are the stages of NEC?
Bell’s classification was introduced in 1978 and is still widely used to clinically stage NEC based on disease severity: stage I being suspected NEC, stage II being confirmed NEC, and stage III being confirmed NEC with intestinal perforation and/or multi-system involvement [8].
How many stages of NEC are there?
The treatment for NEC varies with the severity of the disease. Three stages (Bell stages) have been defined for NEC.
How can NEC be prevented?
Based on this theory, several best clinical strategies are being recommended to reduce the risk of NEC. These include breast milk feeding, restrictive use of antibiotics, supplementation with probiotics, and standardized feeding protocols (SFPs).
What is the survival rate of NEC?
The mortality rate in NEC ranges from 10% to more than 50% in infants who weigh less than 1500 g, depending on the severity of disease, compared with a mortality rate of 0-20% in babies who weigh more than 2500 g.
How is NEC diagnosed?
To confirm or rule out necrotizing enterocolitis, the doctor will order an abdominal X-ray. An X-ray may show multiple small bubbles in the wall of the intestine (pneumatosis intestinalis). Serial films help assess disease progression. In severe cases, the X-ray may reveal air or gas in the large veins of the liver.
How does NEC develop?
It happens when tissue in the small or large intestine is injured or inflamed. This can lead to death of intestinal tissue and, in some cases, a hole (perforation) in the intestinal wall. In NEC, the intestine can no longer hold waste. So bacteria may pass into the bloodstream and cause a life-threatening infection.
How long does it take to recover from NEC?
Most babies with NEC need antibiotics for 10 days to 14 days. During this time, your baby will get all their nutrition directly into the bloodstream through an IV line. This lets their bowels rest and heal.
What antibiotics treat necrotizing enterocolitis?
Various antibiotic regimens can be employed; one frequently used regimen includes ampicillin, aminoglycoside (eg, gentamicin) or third-generation cephalosporin (cefotaxime), and clindamycin or metronidazole. Vancomycin should be included if staphylococcus coverage is deemed appropriate.
What formula causes NEC?
The risk of developing NEC in premature infants is substantially heightened with cow’s milk-based formulas, such as Enfamil and Similac. Unfortunately, NEC may be fatal to premature babies in some cases.