Necrotising enterocolitis or isolated intestinal perforation Digestive System Enterocolitis
Conditions
Interventions
Primary peritoneal drain or laparotomy.
Sponsors
Institute of Child Health and Great Ormond Street Hospital (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Extremely low birth weight (ELBW) infants (weight less than or equal to 1000g) with perforated necrotising enterocolitis or isolated perforation.
Exclusion criteria
Exclusion criteria: 1. Bilateral grade 4 intraventricular haemorrhages 2. Previous laparotomy 3. Previous peritoneal drain 4. Recurrent NEC
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Survival at 1 and 6 months after randomisation. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Time to death (days) 2. Cause of death (related to abdominal sepsis/not related to abdomen [cardiac anomaly/cerebral haemorrhage/other]) 3. Hospital stay for survivors and non survivors (days) 4. Intestinal absorptive function. This will be assessed by measuring: 4.1. The calorie intake (kcal/kg/day) both enterally and parenterally 1 month and 6 months after randomisation 4.2. The weight gain at 1 month and 6 months after randomisation 4.3. The duration of parenteral nutrition (days) 4.4. The time to full enteral feeding (days) 5. Long term intestinal complications: 5.1. Intestinal stricture (confirmed by a contrast study and/or histology) 5.2. Persistent entero-cutaneous fistula 6. Intraventricular haemorrhage (ultrasound scan of the brain at enrolment in the trial and 2 weeks after randomisation); intraventricular haemorrhages will be graded (grade I to IV) according to their extent and severity 7. Respiratory function. This will be assessed by assessing the need for assisted ventilation or oxygen dependency at 1 and 6 months after randomisation. | — |
Countries
Australia, Belgium, France, Hong Kong, Ireland, Italy, Japan, Korea, South, Netherlands, New Zealand, South Africa, Spain, Switzerland, United Kingdom, United States of America
Outcome results
None listed