Antenatal ultrasound features in fetuses with gastroschisis and its prediction in neonatal outcome

Robertson, Jessica; Kimble, Roy; Stockton, Kellie; Sekar, Renuka

doi:10.1111/ajo.12565

Cited by 26 publications

(28 citation statements)

References 14 publications

(15 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Частота супутньої патології кишеч ника становить 16-24,1%, у цих випадках гастрошизис класифікують як комплексний, або ускладнений. Прогноз при ускладненому гастрошизисі гірший, із вищим рівнем леталь ності, подовженим терміном госпіталізації та пізнішим переходом на ентеральне харчу вання [13,18,21].…”

Section: вступunclassified

“…Характерними ускладненнями при гастро шизисі є зміна кількості навколоплодових вод (маловоддя та багатоводдя), затримка росту плода, дистрес та антенатальна загибель, тому рекомендують інтенсивніше антенатальне спостереження [1,13,16,21].…”

Section: вступunclassified

See 1 more Smart Citation

Analysis of data of complex prenatal examination in cases of gastroschisis in the fetus

Grebinichenko¹,

Gordienko²,

Tarapurova³

et al. 2019

View full text Add to dashboard Cite

Section: вступunclassified

Analysis of data of complex prenatal examination in cases of gastroschisis in the fetus

Grebinichenko¹,

Gordienko²,

Tarapurova³

et al. 2019

View full text Add to dashboard Cite

“…Gastroschisis is an AWD characterized by the herniation of the abdominal viscera represented by bowel loops and occasionally parts of other abdominal organs outside the abdominal wall with no covering membrane or sac, to the right of the insertion of the umbilical cord, and rarely to the left side [25,26]. Even if the condition is not generally associated with other major congenital or chromosomal anomalies, an accurate fetal anatomy assessment is required.…”

Section: Gastroschisismentioning

confidence: 99%

Fetal Abdominal Wall Defects

Dragusin¹,

Şorop-Florea²,

LaurențiuPătru³

et al. 2018

Congenital Anomalies - From the Embryo to the Neonate

View full text Add to dashboard Cite

Abdominal wall defects (AWDs) represent a group of congenital anomalies that can be diagnosed early during pregnancy even at the time of the first trimester assessment, with direct impact on pre-and postnatal fetal prognosis and management decisions. The most frequent anomalies in this group are gastroschisis and omphalocele. The key method available, that allows the detection of any deviation from the physiologic midgut herniation, is the ultrasound (US) assessment. A precise algorithmic scan approach is imposed not only for an accurate detection of any abdominal wall defect, but also for a proper location of the defect and of the spatial relation to the umbilical cord insertion, fundamentally important in differentiating among various malformations. Other structural or chromosomal anomalies should be excluded. Suitable multidisciplinary counseling should be considered. Unfortunately, in utero surgery, in these cases, has not been yet successful. Postnatal early interventions are usually required in specialized pediatric centers.

show abstract

“…The incidence of gastroschisis is reported to be 2–5 per 10 000 births. There have been several reports on ultrasound findings, such as bowel dilatation, associated with the postnatal outcome in fetuses with gastroschisis . Although neonatal prognosis is generally good, intrauterine fetal death (IUFD) and nonreassuring fetal status (NRFS) sometimes occur.…”

Section: Introductionmentioning

confidence: 99%

“…There have been several reports on ultrasound findings, such as bowel dilatation, associated with the postnatal outcome in fetuses with gastroschisis. [1][2][3] Although neonatal prognosis is generally good, intrauterine fetal death (IUFD) and nonreassuring fetal status (NRFS) sometimes occur. South et al 4 reported that waiting until 37 weeks' gestation for delivery increased the risk of IUFD in fetuses with gastroschisis.…”

Section: Introductionmentioning

confidence: 99%

Stomach herniation prior to nonreassuring fetal status in a case of fetal gastroschisis

Kojima

Ozawa

Sugibayashi

et al. 2018

J of Obstet and Gynaecol

View full text Add to dashboard Cite

The neonatal prognosis in gastroschisis is generally good; however, intrauterine fetal death (IUFD) and nonreassuring fetal status (NRFS) sometimes occur in fetal cases of gastroschisis. Previously, we reported stomach herniation as a possible risk factor for IUFD or NRFS in fetuses with gastroschisis. We report a case of fetal gastroschisis showing stomach herniation and increased velocity of the umbilical venous (UV) flow the day before NRFS by electronic fetal monitoring (EFM). A 27-year-old pregnant woman was followed up from 16 weeks' gestation due to fetal gastroschisis. At 33 + 1 weeks' gestation, EFM displayed a reassuring fetal state, while the ultrasound examination revealed fetal stomach herniation and an increased flow velocity of the UV in the abdomen. One day later, EFM displayed NRFS, and the patient underwent emergency caesarean section. This case showed stomach herniation preceding the occurrence of NRFS. Stomach herniation may be a predictor of NRFS in fetuses with gastroschisis.

show abstract

Antenatal ultrasound features in fetuses with gastroschisis and its prediction in neonatal outcome

Abstract: Extra-abdominal bowel dilatation is a statistically significant marker of complex gastroschisis and associated morbidity. Its presence in infants who had uncomplicated outcomes, suggests that clinically, its usefulness in antenatal counselling is still debatable.

Cited by 26 publications

References 14 publications

Analysis of data of complex prenatal examination in cases of gastroschisis in the fetus

Analysis of data of complex prenatal examination in cases of gastroschisis in the fetus

Fetal Abdominal Wall Defects

Stomach herniation prior to nonreassuring fetal status in a case of fetal gastroschisis

Contact Info

Product

Resources

About