000			03112cam a2200349 a 4500
003			EG-GiCUC
005			20250223031648.0
008			170208s2015 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.28.M.Sc.2015.Ne.U
100	0		_aNehal Shamsan Mohammed Almasah
245	1	0	_aUltrasonographic assessment of gut and splanchnic circulation in preterms with neonatal sepsis for necrotizing enterocolitis / _cNehal Shamsan Mohammed Almasah ; Supervised Shereen Abdelghaffar Taha , Yasmeen Amr Mansi , Rania Hamdy Hashem
246	1	5	_aالفحص بالموجات الصوتيه للدورة الدموية للأحشاء في الأطفال المبتسرين الذين يعانون من التهاب معوي قولوني ناخر
260			_aCairo : _bNehal Shamsan Mohammed Almasah , _c2015
300			_a146 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520			_aIntroduction: Despite recent advances in neonatology, necrotizing enterocolitis (NEC) is still a common and devastating gastrointestinal emergency that primarily afflicts premature newborns. The diagnosis of NEC is usually suspected clinically but often requires the aid of diagnostic radiologic modality. Although the precise etiology of NEC is unknown, it is generally accepted that the most important etiologic factor is intestinal ischemia or hypoperfusion leading to altered mucosal integrity. Objectives: Our aims was to assess the splanchnic circulation by measuring mesenteric and celiac arterial blood velocity using duplex ultrasound in patients with neonatal sepsis and to evaluate the presence of radiologic findings for the early diagnosis of NEC in patients with neonatal sepsis using ultrasonography Patients and methods: This is cross-sectional study included 51 neonates less than 37 weeks gestational age, with neonatal sepsis, 25 neonates with feeding intolerance, 26 without, all of them were subjected to clinical examination, laboratory investigations (CBC, CRP, ABG, Na, PT, PC. INR & blood culture) and radiological investigation (abdominal X-ray, abdominal ultrasound & doppler on CA & SMA). Results: In neonates with NEC or symptoms suggesting NEC, abdominal X-ray showed one patient with pneumo-peritoneum, three patients with thickened intestinal wall, while abdominal ultrasound revealed intestinal wall thickening in three patients and free fluid in abdomen in one patient. Peak systolic velocity (PSV) ratio between Celiac Artery: Superior Mesenteric Artery was increased in 16 patients using Doppler study
530			_aIssued also as CD
653		4	_aNEC
653		4	_aNecrotizing enterocolitis
653		4	_aPSV
700	0		_aRania Hamdy Hashem , _eSupervisor
700	0		_aShereen Abdelghaffar Taha , _eSupervisor
700	0		_aYasmeen Amr Mansi , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShaima _eCataloger
942			_2ddc _cTH
999			_c59760 _d59760