Supportive therapy is given for immediate problems such as shock or other disturbances.
Oral feeding is stopped for at least a week; up to two weeks in many units, with total parenteral nutrition given via a long line during the period of starvation. When feeding is resumed it is with caution and using human milk where possible.
Broad spectrum antibiotics are given intravenously - for example penicillin, gentamicin and metronidazole.
Surgical resection may be necessary for necrotic or perforated bowel.
Regular girth measurement and full blood count are helpful in the acutely unwell child. Abdominal radiology should probably only be repeated on clinical deterioration.
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