%0 Journal Article
%T Radiograf赤a directa de abdomen y correlaci車n cl赤nica en la enterocolitis necrotizante Direct abdominal radiology and clinical correlation in the necrotizing enterocolitis
%A Mar赤a Carolina Castagnaro
%A Julio L車pez Maˋ芍n
%A G車ngora Ada Miriam
%A Mey Ling Nishihara Hun
%J Revista Argentina de Radiolog赤a
%D 2009
%I Sociedad Argentina de Radiolog赤a
%X Prop車sito: Determinar la incidencia de enterocolitis necrotizante (ECN) en la poblaci車n estudiada y categorizar los signos radiogr芍ficos, seg迆n la clasificaci車n cl赤nico- radiol車gica de Bell, en 6 grados de menor a mayor severidad (IA y B, IIA y B y IIIA y B), 迆til para definir conductas terap谷uticas y pron車stico. Material y M谷todo: An芍lisis retrospectivo de 550 historias cl赤nicas de neonatos menores de 36 semanas asistidos en UCI Neonatal entre abril/septiembre de 2003. Se seleccionaron 45 reci谷n nacidos (RN) que desarrollaron ECN y se evalu車: edad gestacional (EG), peso y presentaci車n cl赤nico- radiol車gica. Resultados: De los 550 RN, 45 (8%) presentaron ECN. La EG se hall車 con mayor frecuencia entre las 31 y 34 semanas (60%) y el 71% de los ni os pes車 al nacer entre 1000 y 2000 gramos. La presentaci車n cl赤nico-radiol車gica seg迆n la clasificaci車n de Bell fue: IA: 9 casos (20%); IB: 10 casos (22%); IIA: 11 casos (24%); IIB: 7 casos (15%); IIIA: 3 casos (7%), IIIB: 5 casos (11%). Conclusi車n: La incidencia de ECN en la poblaci車n estudiada fue del 8%, coincidente con la bibliograf赤a. Se confirma el valor de la Rx directa de abdomen, ya que su rol no solo est芍 vinculado al diagn車stico de la enfermedad sino que aporta elementos de valor para el pron車stico, control evolutivo y detecci車n de complicaciones. Purpose: Determine the incidence of necrotizing enterocolitis (NEC) on the studied population and categorized the radiological signs based on the Bell clinical - radiological classification, in 6 grades from lower to higher severity (IA and B, IIA and B and IIIA and B), necessary to define prognosis and therapeutical behaviors. Materials and Method: Retrospective analysis of 550 clinical cases of neonates younger than 36 weeks assisted in UCI Neonatal between April and September 2003. Fourty five new born that developed NEC were selected, and the gestational age (GA), weight and clinical radiological presentation were evaluated. Results: From the 550 NB, 45 (8%) showed NEC. The GA that more frequently appeared was in between 31 and 34 weeks (60%) and 71% of the new born's weight was in between 1000 and 2000 grams. The clinical and radiological presentation by the Bell classification was: IA: 9 cases (20%); IB: 10 cases (22%); IIA: 11 cases (24%); IIB: 7 cases (15%); IIIA: 3 cases (7%); IIIB: 5 cases (11%). Conclusion: the incidence of NEC in the studied population was 8%, which agrees with the bibliography. It is confirmed the value of direct abdominal radiography, its role is not only linked to the diagnostic of the diseases, but it also gives valuable elements
%K Enterocolitis necrotizante
%K Signos radiol車gicos
%K Neonatos
%K Clasificaci車n de Bell
%K Necrotizing enterocolitis
%K Radiological signs
%K Neonato
%K Bell classification
%U http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1852-99922009000100005