HOME >> MEDICINE >> NEWS
Two very different surgical procedures produce same results in often fatal intestinal disorder

New Haven, Conn. -- Two surgical procedures, one invasive and the other much less so, for premature infants with intestinal perforation due to necrotizing enterocolitis (NEC) produce virtually identical results, according to a Yale School of Medicine study published today in the New England Journal of Medicine.

A significant aspect of the study is that it is the first multi-center randomized controlled trial to be completed comparing two operations in children, said the lead author, Larry Moss, M.D., chief of pediatric surgery in the Department of Surgery.

"Surgery is one of the most dramatic and potentially life-altering events in a patient's medical life, yet a remarkable amount of surgical practice is based upon historical tradition rather than scientific evidence," Moss said. "The vast majority of research on surgical conditions involves a single group of surgeons reporting upon their personal experience at one institution."

"This report argues against conventional wisdom that randomized studies cannot be effectively utilized to compare treatments for acutely life-threatening conditions," he said. "It proves that despite the biases against surgical trials, they can be completed with appropriate commitment by surgeons and their institutions."

NEC is a severe inflammatory disease of the intestine afflicting 5,000 to 10,000 premature infants in the United States each year. In its most severe form NEC results in perforation of part of the intestine, which requires emergency surgery that can be life-saving.

For more than 25 years surgeons have used two radically different operations for these babies. The first and more aggressive, laparotomy and bowel resection, involves a large abdominal incision with removal of all affected intestine and creation of a stoma, which means bringing the end of the intestine through the abdomen to drain into a bag. The alternative option, peritoneal drainage, involves making a inch incision in th
'"/>

Contact: Jacqueline Weaver
jacqueline.weaver@yale.edu
203-432-8555
Yale University
25-May-2006


Page: 1 2

Related medicine news :

1. Pediatricians and pathologists see traumatic brain injury differently
2. Eye diseases gave great painters different vision of their work, Stanford ophthalmologist says
3. Emergency departments test chest pain patients differently, based on race, gender and insurance
4. Study indicates different treatment may be needed for infection-related breathing problems
5. Internal body clock dictates timing of different types of stroke
6. Puerto Rican and African-American children show different patterns of asthma care
7. Estrogen plays different role during stress in black and white teens
8. Define diabetes differently, says U-M expert in speech for national award
9. Men and women may need different heart transplant assessment criteria
10. Smoking, diabetes predict different forms of peripheral artery disease
11. Different forms of amyloid beta in Alzheimers disease harm neurons in different ways

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:8/31/2020)... ... August 31, 2020 , ... Ocean ... face masks to medical first responders across the United States. Since the start ... personal protective equipment (PPE) medical centers , hospitals , firefighters ...
(Date:8/31/2020)... Ga. (PRWEB) , ... August 31, 2020 , ... The pandemic and topsy-turvy economic outlook ... examine our budgets and look for ways to trim the fat from our monthly expenses ... your finances, but it’s also important that you have a financial safety net in place ...
(Date:8/29/2020)... ... ... When professor and author Randy Pausch was diagnosed with pancreatic cancer, he accepted his ... however, he put together a final lecture in Carnegie Hall in which he offered ... and turned it into something that inspired millions of people worldwide. This inclination to ...
(Date:8/28/2020)... ... , ... Integrated Viral Protection (IVP Air) today announced that the ... breakthrough Mobile Biodefense Indoor Air Protection System that is the first system designed and ... reopen equipped with the filtration system on September 8th. , The IVP Air ...
(Date:8/27/2020)... ... August 27, 2020 , ... Evolution Labs announced today ... their students with Suite360:Mental Health and Prevention, a program developed to help students ... Trafficking Prevention. , Florida schools and districts must provide their students with preventative ...
Breaking Medicine News(10 mins):
(Date:8/27/2020)... ... August 27, 2020 , ... InfoMC, a leading ... completion of their 2020 System and Organizational Controls (SOC) 1® Type 2 and ... MARS-E compliance assessment. These achievements reflect their long-standing commitment to privacy, security, and ...
(Date:8/27/2020)... ... August 27, 2020 , ... Bridge To A Cure Foundation ... is an adult and pediatric neuro-oncologist who serves on the Board of Directors at ... at Duke University Medical School. , Internationally recognized, Dr. Friedman is a widely published ...
(Date:8/26/2020)... ... 26, 2020 , ... Unscrupulous sellers across the country are ... purification technologies, including GreenTech Environmental’s proprietary methods, have been used successfully to curb ... has published results of singular and scientific testing against the coronavirus. , As ...
Breaking Medicine Technology:
Cached News: