OBJECTIVE: To evaluate the role of Doppler ultrasonography in the assessment of splanchnic circulation's hemodynamic changes in septic preterms at risk of necrotizing enterocolitis. METHODS: A total of 51 septic preterms were divided into two groups: 25 preterms with clinical signs of necrotizing enterocolitis (NEC) and 26 preterms with no clinical signs of NEC. Both groups were assessed with Doppler ultrasonography of the celiac and superior mesenteric arteries, and each septic preterm's peak systolic velocity (PSV), end-diastolic velocity (EDV), resistivity index (RI), and pulsatility index (PI) was calculated and recorded. RESULTS: These included a statistically significant lower PSV (p: 0.001) and a lower EDV (p: 0.001) in the superior mesenteric artery in the septic group with clinical signs of NEC in comparison with the septic group with no clinical signs of NEC. A statistically significant (p < 0.001) higher PSV celiac (CA)/PSV superior mesenteric (SMA) ratio was found for the group of septic preterms with clinical signs of NEC when compared to the other group. CONCLUSION: The study results showed that Doppler ultrasonography of the splanchnic circulation can be a tool for the early identification of NEC cases among septic preterms.
OBJECTIVE: To evaluate the role of Doppler ultrasonography in the assessment of splanchnic circulation's hemodynamic changes in septic preterms at risk of necrotizing enterocolitis. METHODS: A total of 51 septic preterms were divided into two groups: 25 preterms with clinical signs of necrotizing enterocolitis (NEC) and 26 preterms with no clinical signs of NEC. Both groups were assessed with Doppler ultrasonography of the celiac and superior mesenteric arteries, and each septic preterm's peak systolic velocity (PSV), end-diastolic velocity (EDV), resistivity index (RI), and pulsatility index (PI) was calculated and recorded. RESULTS: These included a statistically significant lower PSV (p: 0.001) and a lower EDV (p: 0.001) in the superior mesenteric artery in the septic group with clinical signs of NEC in comparison with the septic group with no clinical signs of NEC. A statistically significant (p < 0.001) higher PSV celiac (CA)/PSV superior mesenteric (SMA) ratio was found for the group of septic preterms with clinical signs of NEC when compared to the other group. CONCLUSION: The study results showed that Doppler ultrasonography of the splanchnic circulation can be a tool for the early identification of NEC cases among septic preterms.
Authors: Cicero T Silva; Alan Daneman; Oscar M Navarro; Aideen M Moore; Rahim Moineddin; J Ted Gerstle; Ashok Mittal; Mary Brindle; Monica Epelman Journal: Pediatr Radiol Date: 2007-01-16
Authors: Edile M Murdoch; Ajay K Sinha; Shanti T Shanmugalingam; Gordon C S Smith; Stephen T Kempley Journal: Pediatrics Date: 2006-11 Impact factor: 7.124
Authors: J L Grosfeld; M Chaet; F Molinari; W Engle; S A Engum; K W West; F J Rescorla; L R Scherer Journal: Ann Surg Date: 1996-09 Impact factor: 12.969
Authors: Isabelle M C Ree; Vivianne E H J Smits-Wintjens; Esther G J Rijntjes-Jacobs; Iris C M Pelsma; Sylke J Steggerda; Frans J Walther; Enrico Lopriore Journal: Neonatology Date: 2013-11-26 Impact factor: 4.035
Authors: R L Moss; L A Kalish; C Duggan; P Johnston; M L Brandt; J C Y Dunn; R A Ehrenkranz; T Jaksic; K Nobuhara; B J Simpson; M C McCarthy; K G Sylvester Journal: J Perinatol Date: 2008-09-11 Impact factor: 2.521
Authors: Minesh Khashu; Christof Dame; Pascal M Lavoie; Isabelle G De Plaen; Parvesh M Garg; Venkatesh Sampath; Atul Malhotra; Michael D Caplan; Praveen Kumar; Pankaj B Agrawal; Giuseppe Buonocore; Robert D Christensen; Akhil Maheshwari Journal: Newborn (Clarksville) Date: 2022-03-31