Understanding the susceptibility of the premature infant to necrotizing enterocolitis (NEC).

Abstract:

:Necrotizing enterocolitis (NEC) is the most common life-threatening gastrointestinal emergency encountered in the neonatal intensive care unit. Despite advances in neonatal care, NEC remains a leading cause of morbidity and mortality among premature infants. Epidemiologic studies have identified multiple factors that increase an infant's risk for the development of NEC, although premature birth, bacterial colonization, and enteral feeding are thought to play central roles in disease pathogenesis. Appreciating factors that underlie the susceptibility of prematurely born infants to NEC is important for the development of new strategies aimed at the prevention and treatment of disease. In this review, we discuss defense mechanisms in the intestine and discuss how these systems may be insufficient in the prematurely born infant and thereby further contribute to initiation of NEC. In addition, based on a review of the literature, we suggest that, although numerous bacterial and viral pathogens have been associated with NEC, no individual organism is known to be responsible for disease. Finally, we comment on the possible role for probiotics in promoting maturation of intestinal defense mechanisms thereby attenuating or preventing the sequence of events that lead to NEC.

journal_name

Pediatr Res

journal_title

Pediatric research

authors

Hunter CJ,Upperman JS,Ford HR,Camerini V

doi

10.1203/PDR.0b013e31815ed64c

subject

Has Abstract

pub_date

2008-02-01 00:00:00

pages

117-23

issue

2

eissn

0031-3998

issn

1530-0447

journal_volume

63

pub_type

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