Speakers - 2026

Title: NEC (Necrotizing Enterocolitis) and postoperative NICU management

Abstract

Necrotizing enterocolitis (NEC) remains one of the most serious gastrointestinal emergencies affecting premature and critically ill newborns and is associated with significant morbidity and mortality. Infants requiring surgical intervention for advanced NEC present complex challenges that extend beyond the operative procedure and require coordinated, multidisciplinary management in the neonatal intensive care unit (NICU).

This presentation will discuss contemporary approaches to the postoperative management of neonates following surgery for NEC, with emphasis on hemodynamic stabilization, respiratory support, fluid and electrolyte management, antimicrobial therapy, pain control, nutritional strategies, and careful monitoring for postoperative complications. Particular attention will be given to the timing and progression of enteral nutrition, parenteral nutrition, prevention of catheter-related and hospital-acquired infections, and strategies to support intestinal recovery and growth.

The presentation will also address the recognition and management of complications such as recurrent intestinal inflammation, anastomotic or wound complications, intestinal strictures, short bowel syndrome, feeding intolerance, and prolonged dependence on parenteral nutrition. Close collaboration among neonatologists, pediatric surgeons, nutrition specialists, nurses, and other multidisciplinary teams is essential to optimize outcomes.

Advances in postoperative monitoring, individualized nutritional care, minimally invasive approaches, and multidisciplinary follow-up are providing new opportunities to improve survival and reduce long-term complications. A structured, evidence-based approach to postsurgical NICU care can facilitate recovery, promote growth and neurodevelopment, and improve the quality of life of infants affected by severe NEC.