1. Is there an association between necrotizing enterocolitis in premature neonates and functional gastrointestinal disorders later in childhood?
- Author
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Rallis, Dimitrios, Saliakellis, Efstratios, Kaselas, Christos, Malakozi, Marina, Spyridakis, Ioannis, Fotoulaki, Maria, Diamanti, Elisavet, and Tsakalidis, Christos
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ENTEROCOLITIS , *NEWBORN infants , *LIFE change events , *CONSTIPATION , *INFANTS - Abstract
Background: Stressful events during infancy may predispose to the development of functional gastrointestinal disorders (FGIDs) in childhood. Aims: To evaluate the association of necrotizing enterocolitis (NEC) with childhood FGIDs. Methods: We conducted a study, comparing 29 children of eight to ten years with a history of NEC with 58 children with no history of NEC. Subjects were assessed for FGIDs, based on Rome‐III criteria. Results: Among 29 subjects with NEC, 17 had surgical and 12 conservative NEC. Subjects with surgically, or conservatively managed NEC developed FGIDs at a significantly higher proportion, as compared to children with no history of NEC, later in childhood (41%, 33%, and 13% respectively, p = 0.033). Functional constipation was the most frequently identified disorder (35%, 33%, and 7% respectively). A significant association was detected between FGIDs and the history of perinatal stress (p = 0.049), NEC (p = 0.011), and the surgical management of NEC (p = 0.015). Conclusions: Our study suggests that there is a potential association between NEC and FGIDs later in childhood with functional constipation being the most frequently identified disorder. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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