The excellent results (94% cure) and low morbidity with gastroesophageal fundoplication with or without a gastric emptying procedure from a large combined hospital study indicate that operation should be used early for SGER in NN children and to facilitate enteral feedings and care in NI children.

A targeted intervention involving a smoke-alarm-giveaway program can reduce the incidence of injuries from residential fires.

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ObjectiveThe authors study reviewed patients who underwent operations for omphalocele and gastroschisis to determine survival, morbidity, and long-term quality of life. MethodClinical follow-up of 94 patients cared for with omphalocele and gastroschisis during a 10-to 20-year period after birth. ResultEighty-three patients survived initial treatment. Sixty-one had long-term follow-up. Mean follow-up in the group was 14.2 years. Survival was favorable in the absence of lethal or co-existing major congenital anomalies. Nineteen patients required 31 reoperations, most for abdominal wall hernias and the sequelae of intestinal atresia. Current quality of life was described as favorable (good) in 80% of patients. ConclusionsSurvival rate in patients with abdominal wall defects is favorable and deaths occur substantially in patients with co-existing lethal, or multiple, congenital anomalies. Reoperative surgery is necessary principally in those patients who have postclosure abdominal wall hernias, and in those with bowel atresia at birth. Reoperations are not likely to be necessary after school age. Quality of life in survivors is patient-perceived as entirely satisfactory.Current methods of treating newborn abdominal wall defects, including abdominal wall prosthetic materials and total parenteral nutrition (TPN), were practiced commonly by 1974.1 2 Most descriptions of these anomalies focus on the demographics of patients and on their