A decade of gastroschisis in the era of antenatal ultrasound

The Australian and New Zealand Journal of Surgery
E A NichollsC Hayward

Abstract

Gastroschisis is an uncommon condition in which viscera protrude at the base of the umbilical cord. To investigate the possible relationships between antenatal ultrasound findings, patient demographics, smoking, alcohol consumption and this condition, 21 causes are reviewed. The medical records and antenatal ultrasounds of 21 children diagnosed with gastroschisis at the Adelaide Children's Hospital between 1 January 1985 and 31 December 1992 were reviewed. Antenatal ultrasound was employed in 15 cases, and the diagnosis was accurately made in 13 (86.7%) of these. There were 17 live births, two elective terminations and two pre-term abortions. Seven of the 21 cases had associated anomalies. The anomalies included five atresias, a ventricular septal defect (VSD), and a dislocated gall-bladder. Postoperative complications (which included one death) occurred in seven of the 17 patients. Bowel dilatation or thickening was first detected on five ultrasound examinations performed before 21 weeks' gestation, and four ultrasounds after 21 weeks. The nine cases with bowel changes on ultrasound were associated with a high atresia rate and a longer hospital stay, but not with an increased complication rate. Maternal race, parity, and alcoh...Continue Reading

References

Apr 1, 1975·Journal of Pediatric Surgery·A Shaw
Jul 1, 1990·Archives of Disease in Childhood·J P Roberts, D M Burge
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Citations

Mar 1, 1997·Archives of Disease in Childhood. Fetal and Neonatal Edition·C KimberA Cuschieri
Jun 21, 2011·Journal of Pediatric Surgery·Anna-May LongJoanna C Gillham
May 9, 2006·Journal of Pediatric Surgery·Anupam LallAntonino Morabito
Jan 10, 2002·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·I BarisicUNKNOWN Euroscan Study Group
Aug 11, 2018·Pediatric Surgery International·Victor M Salinas-TorresLaura E Martínez-de-Villarreal

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