Late Abdominal Reoperations after Surgery for Necrotizing Enterocolitis and Spontaneous Intestinal Perforation

Long-term study of 165 premature infants who underwent surgery for NEC or SIP found that 15% required late abdominal reoperations, primarily for small bowel obstruction (9.5%), with zero mortality. Prolonged parenteral nutrition and intestinal failure-associated cholestasis significantly increased the risk of requiring reoperation for bowel obstruction.