Neonatal Necrotizing Enterocolitis Staging (Modified Bell) — free guideline decision tool
Modified Bell staging classifies necrotizing enterocolitis (NEC) from suspected (stage I) through definite (stage II) to advanced (stage III) using clinical signs and abdominal X-ray.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Common questions
What does Neonatal Necrotizing Enterocolitis Staging (Modified Bell) do?
Use in neonates with suspected NEC to stage severity, guide medical versus surgical management and set antibiotic duration.
How is the result calculated?
Pneumoperitoneum → IIIB (perforation); severe systemic signs with intact bowel → IIIA; pneumatosis intestinalis → IIA, with portal gas/ascites/acidosis/thrombocytopenia → IIB; no pneumatosis → IA (IB if gross blood in stool).
Is this a substitute for clinical judgement?
No. All results are decision-support only, for licensed clinicians. They must be individualized to the whole patient and the latest guideline version.
Run Neonatal Necrotizing Enterocolitis Staging (Modified Bell) now
Modified Bell staging classifies necrotizing enterocolitis (NEC) from suspected (stage I) through definite (stage II) to advanced (stage III) using clinical signs and abdominal X-ray.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.