NEC Damage Control: Resect Now or Delay 48 Hours?
Carousel1 min read·Published Oct 2026

NEC Damage Control: Resect Now or Delay 48 Hours?

Slide discussing timing of surgical intervention in necrotizing enterocolitis with necrotic bowel.
Blue slide explaining NEC progression continues after bowel resection if underlying cause not addressed.
Surgical technique slide describing resection, stapling, and delayed decision-making in bowel surgery.
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Carousel · Oct 2026 · 1 min read

In brief

In brief

Educational carousel exploring the critical decision of immediate versus delayed resection in necrotizing enterocolitis cases requiring damage control surgery. Addresses surgical timing strategies and clinical considerations for managing this life-threatening neonatal emergency.

Written by the GCMD Library team from the carousel.

Slides

4 pages · click to turn to one

A structured comparison chart displaying three treatment modalities side-by-side with colored sections. Each column contains clinical data, success percentages, and outcome metrics. Visual hierarchy uses headers, bullet points, and percentage callouts to organize information about surgical techniques.

Necrotizing enterocolitis. A social-media carousel made possible by Cincinnati Children's.
The text in the image

Pediatric Achalasia: Surgical Approach Comparison | Heller Myotomy | 78% Success Rate | Esophageal Dilatation | 45% Success Rate | POEM (Peroral Endoscopic Myotomy) | 99% Success Rate | 742 Cases Reviewed | Complications | Training Requirements | Long-term Outcomes | Systematic Review 2023

The text on each slide
  1. Made possible by Cincinnati Children's | NEC · DAMAGE CONTROL | Part of the bowel is dead. Commit now or delay 48 hours? | In unstable necrotizing enterocolitis (NEC), the reflex is to resect and bring up a stoma. | But there's a case for slowing down.
  2. Made possible by Cincinnati Children's | THE PROBLEM | NEC can keep progressing... even after you cut. | The bowel is a symptom, not the cause. Resect and commit too early and the disease marches on. | You may take too much bowel, or be back in the OR tomorrow.
  3. Made possible by Cincinnati Children's | THE MOVE | Resect, staple, and wait. | Remove the necrotic segment, staple the ends, and leave them in. | Close temporarily and come back in 24-48 hours — before committing to a stoma or anastomosis.
  4. Made possible by Cincinnati Children's | THE PAYOFF | Reassess before you resect. | Next morning: lactate correcting? Off inotropes? Bowel viable? If so, you commit to far less. | Juan Pablo Gurria, MD, MSc | Surgical Director, Pancreas Care Center, Cincinnati Children's
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