September 18, 2026 · Journal of pediatric surgery · DOI: 10.1016/j.jpedsurg.2026.163485

Intraoperative Indocyanine Green Fluorescence Angiography for Assessing Intestinal Perfusion in Infants with Necrotizing Enterocolitis-Associated Colonic Strictures: A Retrospective Comparative Study

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The authors aimed to evaluate the clinical utility and safety of indocyanine green fluorescence angiography (ICG-FA) during surgery for necrotizing enterocolitis (NEC)-associated colonic strictures in infants, specifically regarding its impact on intraoperative decision-making and anastomotic leakage (AL). The study found that ICG-FA was safe and facilitated modifications to surgical plans, although it did not significantly reduce AL rates compared to the non-ICG group. The authors suggest that further research is needed to confirm the benefits of ICG-FA on anastomotic outcomes in larger, prospective studies.

Hongyang Li, Hongxi Liang, Wei Feng, Xiaohong Die, Mengying Cui, Zhenhua Guo

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