Neutropenic enterocolitis in adults: Case series and review of the literature

Steven C. Cunningham, Karim Fakhry, Barbara L. Bass, Lena M. Napolitano

Research output: Contribution to journalReview article

Abstract

Necrotizing enterocolitis in adults is a rare disease and, in the past, has been associated with nearly uniform mortality. In recent years, necrotizing enterocolitis, now termed neutropenic enterocolitis, in adults has become more prevalent as a complication of aggressive systemic chemotherapy. In this report, we discuss two cases of neutropenic enterocolitis secondary to the administration of systemic chemotherapy in adult cancer patients: one with lung carcinoma, the other with leukemia. Both patients were successfully treated with early surgical intervention for resection of all necrotizing enteric lesions, and subsequent aggressive critical care support. Our experience suggests that early surgical intervention in adult patients with intestinal necrosis due to chemotherapy is essential to avoid mortality from this condition. Given the widespread, aggressive use of systemic chemotherapy in the neoadjuvant setting, patients at risk for this potentially lethal complication of neutropenic enterocolitis are increasingly common.

Original languageEnglish (US)
Pages (from-to)215-220
Number of pages6
JournalDigestive Diseases and Sciences
Volume50
Issue number2
DOIs
StatePublished - Feb 1 2005

Keywords

  • Chemotherapy
  • Intestinal complication
  • Necrotizing enterocolitis
  • Neutropenic enterocolitis

ASJC Scopus subject areas

  • Physiology
  • Gastroenterology

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