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Contrast enema diagnosis of necrotizing enterocolitis

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Abstract

Contrast enema was performed in a select group of 126 neonates with ambiguous diagnosis of necrotizing enterolcolitis (NEC). Enema findings were compared with that on plain abdominal radiographs (AXR) and the clinical outcome. Thirty-one of the 34 patients with a discharge diagnosis of NEC were interpreted to have a positive contrast enema, and 91 of the 92 patients without a discharge diagnosis of NEC were interpreted to have a negative contrast enema. The AXR was interpreted as positive in 57 patients and as negative or indeterminate in 69. Not a single case of perforation was produced. Judicious use of contrast enema can improve specificity of diagnosis in cases with discordant clinical and plain radiographic findings.

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Authors and Affiliations

  1. Department of Radiology, The University of Iowa College of Medicine, 52242, Iowa City, Iowa, USA

    S. C. S. Kao M.D., W. L. Smith, E. A. Franken Jr, Y. Sato, J. H. Sullivan & J. A. McGee

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  1. S. C. S. Kao M.D.
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  2. W. L. Smith
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  3. E. A. Franken Jr
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  4. Y. Sato
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  5. J. H. Sullivan
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  6. J. A. McGee
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Kao, S.C.S., Smith, W.L., Franken, E.A. et al. Contrast enema diagnosis of necrotizing enterocolitis. Pediatr Radiol 22, 115–117 (1992). https://doi.org/10.1007/BF02011309

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  • DOI: https://doi.org/10.1007/BF02011309

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