Dual energy CT in necrotizing enterocolitis; a novel diagnostic approach

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dc.authoridYigiter, Murat/0000-0002-4310-0752
dc.authoridcelikkaya, mehmet emin/0000-0003-3324-4960
dc.authoridsade, recep/0000-0002-6373-316X
dc.authoridKARA, MUSTAFA/0000-0001-6568-1538
dc.authoridfirinci, binali/0000-0002-0852-2458
dc.contributor.authorCaglar, Ozgur
dc.contributor.authorCesur, Emrullah
dc.contributor.authorSade, Recep
dc.contributor.authorFirinci, Binali
dc.contributor.authorKara, Mustafa
dc.contributor.authorCelikkaya, Mehmet Emin
dc.contributor.authorOral, Akgun
dc.date.accessioned2024-09-18T20:16:35Z
dc.date.available2024-09-18T20:16:35Z
dc.date.issued2021
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractBackground/aim: Necrotizing enterocolitis (NEC) is one of the most important causes of morbidity and mortality in premature infants. Although there are no specific diagnostic tools, the main factors affecting prognosis are clinical and laboratory findings, and early diagnosis and treatment. In this study, we demonstrate the importance of dual-energy computed tomography (DECT) in confirming intestinal ischemia in neonates with NEC. Materials and methods: Patients diagnosed with NEC in a neonatal intensive care unit were staged according to modified Bell's classification, and DECT was performed on patients with NEC stages 2-A, 2-B and 3-A. According to their DECT reports, these patients were then separated into two groups: those with intestinal ischemia and those without intestinal ischemia. The patients with intestinal ischemia were evaluated using surgical reports, and the other patients were evaluated using clinical findings. Results: DECT was performed in 21 patients with NEC stages 2-A, 2-B and 3-A. Twelve patients (57.1%) without ischemia were followed up without surgery. Nine patients (42.9%) with ischemia on DECT were operated on, and resection and anastomosis or ileostomy and colostomy were performed. Conclusion: In patients with NEC, DECT significantly increases overall diagnostic confidence in assessing intestinal necrosis when compared with traditional diagnostic methods.en_US
dc.identifier.doi10.3906/sag-2103-294
dc.identifier.endpage2583en_US
dc.identifier.issn1300-0144
dc.identifier.issn1303-6165
dc.identifier.issue5en_US
dc.identifier.pmid34333905en_US
dc.identifier.scopus2-s2.0-85120686041en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage2575en_US
dc.identifier.trdizinid479282en_US
dc.identifier.urihttps://doi.org/10.3906/sag-2103-294
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/479282
dc.identifier.urihttps://hdl.handle.net/20.500.12483/9606
dc.identifier.volume51en_US
dc.identifier.wosWOS:000711339600040en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTubitak Scientific & Technological Research Council Turkeyen_US
dc.relation.ispartofTurkish Journal of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDual-energy computed tomographyen_US
dc.subjectnecrotizing enterocolitisen_US
dc.subjectnewbornen_US
dc.titleDual energy CT in necrotizing enterocolitis; a novel diagnostic approachen_US
dc.typeArticleen_US

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