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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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LETTER TO EDITOR
Year : 2009  |  Volume : 14  |  Issue : 4  |  Page : 232-233
 

Decision-making in surgical neonatal necrotizing enterocolitis


Wiwanitkit House, Bangkhae, Bangkok, Thailand 10160, Thailand

Date of Web Publication4-Feb-2010

Correspondence Address:
Viroj Wiwanitkit
Wiwanitkit House, Bangkhae, Bangkok, Thailand 10160
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9261.59613

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How to cite this article:
Wiwanitkit V. Decision-making in surgical neonatal necrotizing enterocolitis. J Indian Assoc Pediatr Surg 2009;14:232-3

How to cite this URL:
Wiwanitkit V. Decision-making in surgical neonatal necrotizing enterocolitis. J Indian Assoc Pediatr Surg [serial online] 2009 [cited 2019 Jun 26];14:232-3. Available from: http://www.jiaps.com/text.asp?2009/14/4/232/59613


Sir,

I read the recent publication by Parikh et al. with great interest. [1] Parikh et al. reached to the conclusion that "In the present study, neonate with persistently low pH, higher base deficit and presentation with shock predicted need for laparotomy in drain managed patients as well as chances of survival. [1]" This suggestion should be carefully considered. There are some points to be noted. First, the retrospective nature of this work might include some errors and bias in recorded data. Second, the number of subjects in this work might be too few to reach the statistical significance. Third, the other important underlying conditions of all neonates including the nutritional status, which is an important indicator in surgery, are not well documented. Indeed, there are some papers on the surgical management of the neonatal necrotizing enterocolitis. Of interest, Guner

et al. noted that "Neonates treated surgically had a greater mortality rate compared with ones treated nonsurgically. [2]" These information should also be kept in mind when making a decision on the surgical management for the neonates with necrotizing enterocolitis.

 
   References Top

1.Parikh M, Samujh R, Kanojia RP, Rao KLN Decision-making in surgical neonatal necrotizing enterocolitis. J Indian Assoc Pediatr Surg 2009;14:102-7  Back to cited text no. 1      
2.Guner YS, Friedlich P, Wee CP, Dorey F, Camerini V, Upperman JS. State-based analysis of necrotizing enterocolitis outcomes. J Surg Res 2009;157:21-9  Back to cited text no. 2  [PUBMED]  [FULLTEXT]  




 

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