{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T08:45:31Z","timestamp":1782722731178,"version":"3.54.5"},"reference-count":15,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","journalofsurgicalresearch.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Research"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.jss.2026.03.119","type":"journal-article","created":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T23:24:10Z","timestamp":1781133850000},"page":"281-286","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Refining the Surgical Necrotizing Enterocolitis Protocol: Impact of Clinical Factors on Laparotomy Risk"],"prefix":"10.1016","volume":"324","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-1597-0362","authenticated-orcid":false,"given":"Megan V.","family":"Laurendeau","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walter A.","family":"Ramsey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chad M.","family":"Thorson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony R.","family":"Hogan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo A.","family":"Perez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan E.","family":"Sola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henri R.","family":"Ford","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann-Christina","family":"Brady","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jss.2026.03.119_bib1","doi-asserted-by":"crossref","first-page":"e370","DOI":"10.1097\/SLA.0000000000005099","article-title":"Initial laparotomy versus peritoneal drainage in extremely low birthweight infants with surgical necrotizing enterocolitis or isolated intestinal perforation: a multicenter randomized clinical trial","volume":"274","author":"Blakely","year":"2021","journal-title":"Ann Surg"},{"key":"10.1016\/j.jss.2026.03.119_bib2","first-page":"CD006182","article-title":"Peritoneal drainage versus laparotomy as initial treatment for surgical necrotising enterocolitis or spontaneous intestinal perforation in preterm very low birth weight infants","volume":"6","author":"Rath","year":"2025","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.jss.2026.03.119_bib3","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1056\/NEJMra1005408","article-title":"Necrotizing enterocolitis","volume":"364","author":"Neu","year":"2011","journal-title":"New Engl J Med"},{"key":"10.1016\/j.jss.2026.03.119_bib4","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1056\/NEJMra1005408","article-title":"Necrotizing enterocolitis","volume":"364","author":"Neu","year":"2011","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jss.2026.03.119_bib5","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1016\/j.jss.2020.05.079","article-title":"Protocol-driven surgical care of necrotizing enterocolitis and spontaneous intestinal perforation","volume":"255","author":"Quiroz","year":"2020","journal-title":"J Surg Res"},{"key":"10.1016\/j.jss.2026.03.119_bib6","doi-asserted-by":"crossref","DOI":"10.1016\/j.jpedsurg.2024.06.017","article-title":"Clinical predictors of spontaneous intestinal perforation vs necrotizing enterocolitis in extremely and very low birth weight neonates","volume":"59","author":"Dantes","year":"2024","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jss.2026.03.119_bib7","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1016\/S1072-7515(02)01344-3","article-title":"Spontaneous localized intestinal perforation in very-low-birth-weight infants: a distinct clinical entity different from necrotizing enterocolitis","volume":"195","author":"Pumberger","year":"2002","journal-title":"J Am Coll Surg"},{"key":"10.1016\/j.jss.2026.03.119_bib8","doi-asserted-by":"crossref","first-page":"955","DOI":"10.1016\/j.clp.2022.07.005","article-title":"Review of necrotizing enterocolitis and spontaneous intestinal perforation clinical presentation, treatment, and outcomes","volume":"49","author":"Rausch","year":"2022","journal-title":"Clin Perinatol"},{"key":"10.1016\/j.jss.2026.03.119_bib9","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1007\/s00383-002-0839-7","article-title":"A comparison of the clinical presentation and outcome of focal intestinal perforation and necrotizing enterocolitis in very-low-birth-weight neonates","volume":"18","author":"Okuyama","year":"2002","journal-title":"Pediatr Surg Int"},{"key":"10.1016\/j.jss.2026.03.119_bib10","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1055\/s-0037-1608928","article-title":"Temporal relationship of onset of necrotizing enterocolitis and introduction of enteric feedings and powdered milk fortifier","volume":"35","author":"Vaks","year":"2018","journal-title":"Am J Perinatol"},{"key":"10.1016\/j.jss.2026.03.119_bib11","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1136\/archdischild-2020-321429","article-title":"Discriminating necrotising enterocolitis and focal intestinal perforation","volume":"107","author":"Berrington","year":"2022","journal-title":"Arch Dis Child Fetal Neonatal Ed"},{"key":"10.1016\/j.jss.2026.03.119_bib12","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1016\/j.jss.2017.02.029","article-title":"Red blood cell transfusion in premature infants leads to worse necrotizing enterocolitis outcomes","volume":"213","author":"Cunningham","year":"2017","journal-title":"J Surg Res"},{"key":"10.1016\/j.jss.2026.03.119_bib13","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1001\/jama.2016.1204","article-title":"Association of red blood cell transfusion, anemia, and necrotizing enterocolitis in very low-birth-weight infants","volume":"315","author":"Patel","year":"2016","journal-title":"JAMA"},{"key":"10.1016\/j.jss.2026.03.119_bib14","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1038\/jp.2015.23","article-title":"Definitive peritoneal drainage in the extremely low birth weight infant with spontaneous intestinal perforation: predictors and hospital outcomes","volume":"35","author":"Jakaitis","year":"2015","journal-title":"J Perinatol"},{"key":"10.1016\/j.jss.2026.03.119_bib15","doi-asserted-by":"crossref","first-page":"2593","DOI":"10.1007\/s00431-022-04454-3","article-title":"Initial surgical treatment of necrotizing enterocolitis: a meta-analysis of peritoneal drainage versus laparotomy","volume":"181","author":"Li","year":"2022","journal-title":"Eur J Pediatr"}],"container-title":["Journal of Surgical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480426001630?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480426001630?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T08:06:42Z","timestamp":1782720402000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022480426001630"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":15,"alternative-id":["S0022480426001630"],"URL":"https:\/\/doi.org\/10.1016\/j.jss.2026.03.119","relation":{},"ISSN":["0022-4804"],"issn-type":[{"value":"0022-4804","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Refining the Surgical Necrotizing Enterocolitis Protocol: Impact of Clinical Factors on Laparotomy Risk","name":"articletitle","label":"Article Title"},{"value":"Journal of Surgical Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jss.2026.03.119","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}