Diverticula can also bleed and cause significant bloodloss from the gastrointestinal tract. Vesselsoverlying a diverticula are stretched until they break,causing bleeding into the colon. Blood isusually passed in the stool.Treament of diverticulitis and diverticular bleedinginvolves surgicalremoval of the segmentof coloncontaining the diverticula.After thediseased area is removed, the healthyends of the colon are sewn back together.Occasionally, especially in cases of diverticulitis,where there is significant inflammation, a colostomyis performed.
Necrotizing enterocolitis (NEC) affects mainlypremature babies. It is the most common surgicalemergency in newborns.NEC accounts for
% ofdeaths in remature babies weihin less than
grams.Overall death from those babieswith NEC is
What causes NEC?
It is now thought that NEC is the result of acombination of several factors. The two consistentfindings areprematurity and feedings
Theprematureintestine reactsabnormally and
developsan acute inflammatory response tofeedings leading to intestinal necrosis (death).
What are the signs and symptoms of NEC?
NEC is difficult to diagnose. The babymay havelethargy, poor feeding, biliousvomiting, distended abdomen and bloodin stoos. Pysica examination may sowthe baby to haveabdominal tenderness
periumbilical darkening or erythema(redness, or a fixed loop of bowelthatcan be felt.