Necrotizing enterocolitis is the
commonest and high intestinal disease among premature neonates. Necrotizing
enterocolitis (NEC) happens when tissue within the small or intestine is
injured or begins to die out. This causes the intestine to become inflamed or,
in rare cases, develop a hole (perforation).
When this happens, the intestine
cannot hold waste, so bacteria and other waste products undergo the intestine
and enter the baby's bloodstream or abdomen. This can make a baby very sick,
possibly causing a life-threatening infection.
NEC typically affects babies born
before 32 weeks gestation, but it can occur in full-term infants who have
health problems, sort of a heart condition. Babies with NEC usually develop it
within the primary 2 to 4 weeks of life.
Causes –
The esophagus is a long tube that
connects your mouth to your stomach. It’s divided into three sections:
• The cervical area is the part of
the esophagus inside your neck.
• The thoracic area is the part of
the esophagus in your chest.
• The abdominal area is the part of
the esophagus that leads to your stomach.
A perforation, or hole, can develop in any of those areas. The most common explanation for
esophageal perforation is injury to the esophagus during another procedure.
Any instrument utilized in a
diagnostic or treatment procedure can potentially perforate the esophagus.
Modern, flexible medical instruments are less likely to cause this sort of
injury than less advanced equipment. The risk of perforation during a procedure
is extremely low.
Other, less common causes of
esophageal perforation include:
• tumours in the throat
• ulcers in the throat caused by
gastroesophageal reflux disease (GERD)
• accidentally swallowing a foreign
object, acid, or chemicals
• physical trauma or injury to the
neck
• violent vomiting
Pain is the first symptom of
esophageal perforation. You’ll usually feel pain within the area where the
opening is found. You may also feel pain and have trouble swallowing.
Other symptoms of this condition
include:
• increased heart rate
• rapid breathing
• low blood pressure
• fever
• chills
• vomiting, which may include blood
• pain or stiffness in your neck in
the case of a perforation in the cervical area
Diagnosed –
Your doctor will order an imaging
test, such as an X-ray or CT scan, to check for signs of esophageal
perforation. These tests are used to look in the chest for air bubbles and
abscesses. Abscesses are sacs filled with pus. The imaging tests can also help
your doctor see if fluid has leaked out of your esophagus into your lungs.
Treatment –
The fluid that leaks out of the hole
in your esophagus can become trapped in the tissue between your lungs. This
area is called the mediastinum. It’s located behind your breastbone. The
accumulation of fluid there can cause breathing difficulties and lung
infections.
Dr.
Saurabh Garge is the best Pediatric surgeon, Pediatric
urologist and Laparoscopic surgeon in Vijay Nagar, Indore and operate their
patients at Sukriti Clinic.
Sukriti Clinic has advanced
technology machines, with experienced and professionally trained doctors. The
Specialist Doctors take care of you and provide Better treatment to patients.
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