Colonic stricture-post necrotizing enterocolitis (NEC)

Discussion:
  • history of prematurity (born at 28 weeks gestation) with respiratory distress syndrome, two episodes of necrotizing enterocolitis (managed conservatively), and positive respiratory and blood cultures for Escherichia coli

  • the patient underwent exploratory laparotomy with resection of a segment of the ascending colon and anastomosis

  • bowel strictures, the most common complication in the late stage of NEC, are usually seen 4-8 weeks after NEC 1. More than 80% of these strictures are seen in the colon, with ascending colon being the most commonly affected site 1. Single-stage surgery (stricture resection and anastomosis) is the only effective treatment for post-NEC strictures 1

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