Probiotics to prevent necrotising enterocolitis in very preterm infants.

Introduction: Meta-analyses of randomised trials have shown that probiotics reduce the risk of necrotising enterocolitis (NEC) in preterm infants. However, the generalisability of these results, particularly for the most preterm infants, remains unresolved. Hence, we wanted to evaluate the benefit of implementing prophylactic use of probiotics as standard care in infants younger than 30 weeks of gestation.

[Neonates can also suffer from appendicitis].

Appendicitis is a rare clinical entity in neonates. Preterm and male neonates have the greatest risk. In most of the reported cases appendicitis in neonates is seen as a complication of necrotizing enterocolitis (NEC).

[Prepyloric antral web--a rare cause of gastric outlet obstruction].

A case of gastric outlet obstruction secondary to prepyloric antral web in a four-year-old boy with cerebral pareses is reported. Routine roentgenographic examination was initially misinterpreted as duodenal obstruction. Prepyloric antral web was suspected by subsequent endoscopy and was confirmed by operation.