| Journal: | MedUNAB |
| Database: | PERIÓDICA |
| System number: | 000434293 |
| ISSN: | 0123-7047 |
| Authors: | Sandoval Martínez, Diana K1 Jaimes Sanabria, Mayra Z2 Jiménez Vargas, Fanny L2 Chaparro-Zaraza, Diego F Manrique Hernández, Edgar F2 |
| Institutions: | 1Universidad Industrial de Santander, Hospital Universitario de Santander, Bucaramanga, Santander. Colombia 2Universidad Industrial de Santander, Bucaramanga, Santander. Colombia |
| Year: | 2020 |
| Season: | Abr-Jul |
| Volumen: | 23 |
| Number: | 1 |
| Pages: | 35-42 |
| Country: | Colombia |
| Language: | Español |
| Document type: | Artículo |
| Approach: | Analítico, descriptivo |
| ^^ | |
| Spanish abstract | Respecto a los antecedentes maternos el 14.3% tuvieron espectro de trastornos hipertensivos asociados al embarazo y el 23.8% infección materna. Los tres sitios más frecuentes de ubicación de enterocolitis necrotizantes fue íleon, colon ascendente y colon transverso. Discusión. Según algunos autores, hasta el 85% de todos los casos de enterocolitis necrotizante ocurren en pacientes prematuros, especialmente en bebés con peso extremadamente bajo al nacer. Hay formas de enterocolitis necrotizante que ocurren en bebés a término y, generalmente, están asociadas con factores predisponentes, resultados compatibles con lo que encontramos en esta investigación. Conclusiones. Este estudio elaborado con población colombiana se correlaciona con lo descrito en la población mundial en la cual la enterocolitis necrotizante se presenta más en los recién nacidos pretérmino y con bajo peso al nacer |
| English abstract | Introduction. Necrotizing entercolitis is a disorder characterized by the ischemic necrosis of intestinal mucosa. It is the most serious gastrointestinal disease affecting neonates, with high morbidity and mortality rates, mainly among premature newborns. The purpose of this study is to describe the clinical and anatamo-pathological characteristics of deceased newborns with necrotizing entercolitis, diagnosed at a high-complexity hospital. Methodology. This is a descriptive retrospective study of 21 cases of medical-scientific autopsies performed at a high-complexity hospital in northeastern Colombia, with anatomo-pathological findings of necrotizing entercolitis, performed between January 2013 and July 2017. Results. 85.7% of the newborns were pre-term, and the same percentage had weight at birth below 2.5 kilograms. Regarding the mothers’ background, 14.3% displayed a spectrum of hypertensive disorders associated with pregnancy, and 23.8% had maternal infections. The three most frequent locations of necrotizing entercolitis were the ileum, ascending colon and transverse colon. Discussion. According to some authors, up to 85% of all cases of necrotizing entercolitis occur in premature patients, especially in babies with extremely low weight at birth. There are forms of necrotizing entercolitis that occur in full term babies, and they are generally associated with contributing factors, which is consistent with the findings of this study. Conclusions. This study of a Colombian population is consistent with other descriptions of the global population, where necrotizing entercolitis arises more frequently in pre-term newborns and low weight at birth |
| Portuguese abstract | 85.7% dos recém-nascidos eram prematuros. Uma porcentagem igual tinha um peso menor que 2,500 gramas ao nascer. Em relação à história materna, 14.3% possuíam espectro de transtornos hipertensivos associados à gravidez e 23.8% à infecção materna. Os três locais mais frequentes de enterocolite necrosantes foram íleo, colo ascendente e colo transverso. Discussão. Segundo alguns autores, até 85% de todos os casos de enterocolite necrosante ocorrem em prematuros, principalmente em bebês com peso extremamente baixo ao nascer. Existem formas deenterocolite necrosante que ocorrem em bebês a termo e, geralmente, estão associadas a fatorespredisponentes, resultados compatíveis com os achados nesta pesquisa. Conclusão. Este estudo realizado com população colombiana está correlacionado com o descrito na população mundial em que a enterocolite necrosante ocorre mais nos recém-nascidos prematuros e com baixo peso ao nascer |
| Disciplines: | Medicina |
| Keyword: | Gastroenterología, Pediatría, Enterocolitis necrotizante, Recién nacidos, Prematuros, Peso bajo al nacer, Histopatología, Autopsia |
| Keyword: | Gastroenterology, Pediatrics, Necrotizing enterocolitis, Newborn, Preterm children, Birth low weight, Histopathology, Autopsy |
| Full text: | https://revistas.unab.edu.co/index.php/medunab/article/view/3682/3200 |
