Current therapy option for necrotizing enterocolitis: Practicalities and challenge
- PMID: 35967586
- PMCID: PMC9366471
- DOI: 10.3389/fped.2022.954735
Current therapy option for necrotizing enterocolitis: Practicalities and challenge
Abstract
Necrotizing enterocolitis (NEC) is one of the most prevalent neonatal gastrointestinal disorders. Despite ongoing breakthroughs in its treatment and prevention, the incidence and mortality associated with NEC remain high. New therapeutic approaches, such as breast milk composition administration, stem cell therapy, immunotherapy, and fecal microbiota transplantation (FMT) have recently evolved the prevention and the treatment of NEC. This study investigated the most recent advances in NEC therapeutic approaches and discussed their applicability to bring new insight to NEC treatment.
Keywords: breast milk composition; fecal microbiota transplantation; immunotherapy; necrotizing enterocolitis; stem cell.
Copyright © 2022 Wu, Guo, Zhuo, Zeng, Luo, Yang, Li, Jiang, Huang, Sha and Chen.
Conflict of interest statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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References
-
- Thyoka M, de Coppi P, Eaton S, Khoo K, Hall NJ, Curry J, et al. Advanced necrotizing enterocolitis part 1: mortality. Eur J Pediatr Surg. (2012) 22:8–12. - PubMed
-
- Spencer AU, Kovacevich D, McKinney-Barnett M, Hair D, Canham J, Maksym C, et al. Pediatric short-bowel syndrome: the cost of comprehensive care. Am J Clin Nutr. (2008) 88:1552–9. - PubMed
-
- Bazacliu C, Neu J. Necrotizing enterocolitis: long term complications. Curr Pediatr Rev. (2019) 15:115–24. - PubMed
-
- Weintraub AS, Ferrara L, Deluca L, Moshier E, Green RS, Oakman E, et al. Antenatal antibiotic exposure in preterm infants with necrotizing enterocolitis. J Perinatol. (2012) 32:705–9. - PubMed
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