Novel useful markers for follow-up of necrotizing enterocolitis: endocan and interleukin-33

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Abstract
Objectives: To ascertain the diagnostic value of endocan and interleukin (IL)-33 in infants with necrotizing enterocolitis (NEC) and to compare their effectiveness with C-reactive protein (CRP) and interleukin-6 (IL-6). Methods: Eighty four preterm infants including control (n = 42) and NEC (n = 42) were eligible. Blood samples were obtained from infants in the NEC for the assessment of CRP, IL-6, endocan and IL-33 serum levels at the time of diagnosis (first day), at the third and seventh days of NEC. Endocan, IL-33, CRP and IL-6 serum levels were measured at the 14th day of life in the control group. Results: Serum levels of endocan, IL-33, CRP and IL-6 were significantly higher in the NEC group compared to the control group at the 1st, third and seventh days (p < 0.05). IL-33 and endocan levels continued to rise in the consequent days in patients with stage III NEC (p < 0.05). Serum endocan and IL-33 levels gradually increased in patients who underwent surgery (p < 0.05). Serum endocan levels were higher in patients with stage III NEC than those in the stage II NEC at the diagnosis. Conclusions: Serum levels of IL-33 and endocan can be used as markers in the diagnosis and follow-up of NEC.
Funding Information
  • Training planning and coordination committee of Zekai Tahir Burak Maternity Teaching Hospital

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