579: Long-term outcomes of children with congenital gastroschisis: a regional cohort

Dickinson, Jan E.; Harris, Emma; Hart, Susannah; Williams, Yvette; Warner, Teresa M.; Nathan, Liz; Minutillo, Corrado

doi:10.1016/j.ajog.2011.10.597

Cited by 2 publications

(2 citation statements)

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“…In a longer follow‐up study of 11.5 years in 47 children with gastroschisis, Dickinson et al . described weight and height percentiles of 56th and 59th, respectively . When these children reached puberty (follow‐up of 16 years), none of the 27 children with gastroschisis were below the third percentile for weight and only one was below his standard for height .…”

Section: What Are the Long‐term Consequences Of Infants With Gastroscmentioning

confidence: 99%

“…We identified 14 studies investigating long‐term neurodevelopmental outcomes or school achievements (Table ). Only 2/14 studies enrolled more than 50 infants born with gastroschisis, 3/14 have data on outcomes >10 years old and 4/14 studies compared their outcomes with a control group . None of these studies showed any significant difference between gastroschisis and controls in terms of neurodevelopmental outcomes or school achievements.…”

Section: What Are the Long‐term Consequences Of Infants With Gastroscmentioning

confidence: 99%

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Gastroschisis – what should be told to parents?

Lepigeon¹,

Mieghem

Maurer³

et al. 2014

Prenatal Diagnosis

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Gastroschisis is a common congenital abdominal wall defect. It is almost always diagnosed prenatally thanks to routine maternal serum screening and ultrasound screening programs. In the majority of cases, the condition is isolated (i.e. not associated with chromosomal or other anatomical anomalies). Prenatal diagnosis allows for planning the timing, mode and location of delivery. Controversies persist concerning the optimal antenatal monitoring strategy. Compelling evidence supports elective delivery at 37 weeks' gestation in a tertiary pediatric center. Cesarean section should be reserved for routine obstetrical indications. Prognosis of infants with gastroschisis is primarily determined by the degree of bowel injury, which is difficult to assess antenatally. Prenatal counseling usually addresses gastroschisis issues. However, parental concerns are mainly focused on long-term postnatal outcomes including gastrointestinal function and neurodevelopment. Although infants born with gastroschisis often endure a difficult neonatal course, they experience few long-term complications. This manuscript, which is structured around common parental questions and concerns, reviews the evidence pertaining to the antenatal, neonatal and long-term implications of a fetal gastroschisis diagnosis and is aimed at helping healthcare professionals counsel expecting parents.

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Section: What Are the Long‐term Consequences Of Infants With Gastroscmentioning

confidence: 99%

Section: What Are the Long‐term Consequences Of Infants With Gastroscmentioning

confidence: 99%