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Implementation of bowel ultrasound practice for the diagnosis and management of necrotising enterocolitis.

Authors :
Alexander KM
Chan SS
Opfer E
Cuna A
Fraser JD
Sharif S
Khashu M
Source :
Archives of disease in childhood. Fetal and neonatal edition [Arch Dis Child Fetal Neonatal Ed] 2021 Jan; Vol. 106 (1), pp. 96-103. Date of Electronic Publication: 2020 May 12.
Publication Year :
2021

Abstract

Necrotising enterocolitis (NEC) is a serious inflammatory bowel disease of prematurity with potentially devastating complications and remains a leading cause of morbidity and mortality among premature infants. In recent years, there has been accumulating data regarding benefits of using bowel ultrasound (BUS) in the diagnosis and management of NEC. Despite this, adoption of robust BUS programmes into clinical practice has been slow. As BUS is a relatively new technique, many barriers to implementation exist, namely lack of education and training for sonographers and radiologists, low case volume and unfamiliarity by clinicians regarding how to use the information provided. The aim of this manuscript is to provide a framework and a roadmap for units to implement BUS in day-to-day practice for NEC diagnosis and management.<br />Competing Interests: Competing interests: SSC reports grants and personal fees from Jazz pharmaceuticals, outside the submitted work.<br /> (© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Details

Language :
English
ISSN :
1468-2052
Volume :
106
Issue :
1
Database :
MEDLINE
Journal :
Archives of disease in childhood. Fetal and neonatal edition
Publication Type :
Academic Journal
Accession number :
32398270
Full Text :
https://doi.org/10.1136/archdischild-2019-318382