Dual energy CT in necrotizing enterocolitis; a novel diagnostic approach

Background/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.Key words: Dual-energy computed tomography, necrotizing enterocolitis, newborn

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APA	çağlar ö, CESUR E, sade r, fırıncı b, KARA M, çelikkaya m, Oral A, Yigiter M, Özmen S (2021). Dual energy CT in necrotizing enterocolitis; a novel diagnostic approach. , 2575 - 2583. 10.3906/sag-2103-294
Chicago	çağlar özgür,CESUR EMRULLAH,sade recep,fırıncı binali,KARA MUSTAFA,çelikkaya mehmet emin,Oral Akgun,Yigiter Murat,Özmen Sevilay Dual energy CT in necrotizing enterocolitis; a novel diagnostic approach. (2021): 2575 - 2583. 10.3906/sag-2103-294
MLA	çağlar özgür,CESUR EMRULLAH,sade recep,fırıncı binali,KARA MUSTAFA,çelikkaya mehmet emin,Oral Akgun,Yigiter Murat,Özmen Sevilay Dual energy CT in necrotizing enterocolitis; a novel diagnostic approach. , 2021, ss.2575 - 2583. 10.3906/sag-2103-294
AMA	çağlar ö,CESUR E,sade r,fırıncı b,KARA M,çelikkaya m,Oral A,Yigiter M,Özmen S Dual energy CT in necrotizing enterocolitis; a novel diagnostic approach. . 2021; 2575 - 2583. 10.3906/sag-2103-294
Vancouver	çağlar ö,CESUR E,sade r,fırıncı b,KARA M,çelikkaya m,Oral A,Yigiter M,Özmen S Dual energy CT in necrotizing enterocolitis; a novel diagnostic approach. . 2021; 2575 - 2583. 10.3906/sag-2103-294
IEEE	çağlar ö,CESUR E,sade r,fırıncı b,KARA M,çelikkaya m,Oral A,Yigiter M,Özmen S "Dual energy CT in necrotizing enterocolitis; a novel diagnostic approach." , ss.2575 - 2583, 2021. 10.3906/sag-2103-294
ISNAD	çağlar, özgür vd. "Dual energy CT in necrotizing enterocolitis; a novel diagnostic approach". (2021), 2575-2583. https://doi.org/10.3906/sag-2103-294

APA	çağlar ö, CESUR E, sade r, fırıncı b, KARA M, çelikkaya m, Oral A, Yigiter M, Özmen S (2021). Dual energy CT in necrotizing enterocolitis; a novel diagnostic approach. Turkish Journal of Medical Sciences, 51(5), 2575 - 2583. 10.3906/sag-2103-294
Chicago	çağlar özgür,CESUR EMRULLAH,sade recep,fırıncı binali,KARA MUSTAFA,çelikkaya mehmet emin,Oral Akgun,Yigiter Murat,Özmen Sevilay Dual energy CT in necrotizing enterocolitis; a novel diagnostic approach. Turkish Journal of Medical Sciences 51, no.5 (2021): 2575 - 2583. 10.3906/sag-2103-294
MLA	çağlar özgür,CESUR EMRULLAH,sade recep,fırıncı binali,KARA MUSTAFA,çelikkaya mehmet emin,Oral Akgun,Yigiter Murat,Özmen Sevilay Dual energy CT in necrotizing enterocolitis; a novel diagnostic approach. Turkish Journal of Medical Sciences, vol.51, no.5, 2021, ss.2575 - 2583. 10.3906/sag-2103-294
AMA	çağlar ö,CESUR E,sade r,fırıncı b,KARA M,çelikkaya m,Oral A,Yigiter M,Özmen S Dual energy CT in necrotizing enterocolitis; a novel diagnostic approach. Turkish Journal of Medical Sciences. 2021; 51(5): 2575 - 2583. 10.3906/sag-2103-294
Vancouver	çağlar ö,CESUR E,sade r,fırıncı b,KARA M,çelikkaya m,Oral A,Yigiter M,Özmen S Dual energy CT in necrotizing enterocolitis; a novel diagnostic approach. Turkish Journal of Medical Sciences. 2021; 51(5): 2575 - 2583. 10.3906/sag-2103-294
IEEE	çağlar ö,CESUR E,sade r,fırıncı b,KARA M,çelikkaya m,Oral A,Yigiter M,Özmen S "Dual energy CT in necrotizing enterocolitis; a novel diagnostic approach." Turkish Journal of Medical Sciences, 51, ss.2575 - 2583, 2021. 10.3906/sag-2103-294
ISNAD	çağlar, özgür vd. "Dual energy CT in necrotizing enterocolitis; a novel diagnostic approach". Turkish Journal of Medical Sciences 51/5 (2021), 2575-2583. https://doi.org/10.3906/sag-2103-294