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Nekrotiserende enterokolitt (NEC)

Sist revidert:
Sist revidert av:
Definisjon:
Iskemisk nekrose av tarmmukosa med alvorlig infeksjon med gassdannende bakterier hos premature. 
Forekomst:
En av de vanligste gastrointestinale akuttilstander hos svært premature. Insidens blant barn født før uke 32 er 2-7%
Symptomer:
Plutselig ernæringsvansker, oppblåst, kvalme, magesmerter. Medtatt allmenntilstand, ev. sepsis
Funn:
Ileusbilde; gallefarget aspirat, abdomen utspilt og øm. Blod i avføringen
Diagnostikk:
Klinisk undersøkelse. Full blodstatus og infeksjonsprøver. Røntgen oversikt abdomen som viser luft i tarmvegg eller fri luft i bukhulen bekrefter diagnosen. 
Behandling:
Tarmhvile, antibiotika i sepsisdoser. Støttende behandling. Ikke uvanlig med behov for tarmreseksjon
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  • Ingard Løge, spesialist allmennmedisin, redaktør NEL

Tidligere fagmedarbeidere

  • Kurt Østhuus Krogh, spesialist i barnesykdommer, Barne- og ungdomsklinikken, St. Olavs Hospital, Trondheim