Gastroschisis Associated with Atresia - A Plea for Delay in Resection

Hoorn, W. A. van; Hazebroek, F. W. J.; Molenaar, Jan C.

doi:10.1055/s-2008-1059752

Cited by 4 publications

(2 citation statements)

References 5 publications

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“…Chromosomal anomalies are also more commonly associated with omphalocele; this is particularly true of small omphaloceles that do not contain liver [18,19]. Intestinal atresia is seen in approximately 10% of infants with gastroschisis, but it is unclear whether this represents a common vascular etiology of the two lesions [20] or is the result of intestinal ischemia secondary to constriction at the abdominal wall [21]. Occasionally gastroschisis may occur as a result of amniotic band syndrome [22].…”

Section: Omphalocele Versus Gastroschisismentioning

confidence: 99%

Abdominal Wall Defects

Langer

2003

World j. surg.

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The frequent use of prenatal diagnostic techniques including ultrasound and maternal serum alpha-fetoprotein has increasingly led to detection of abdominal wall defects before birth. This prenatal detection creates the opportunity to influence neonatal outcome by alteration in management of pregnancy or delivery. The optimal management of an individual fetus depends on careful prenatal assessment of the abdominal wall defect, combined with experience and knowledge of the natural history for that particular lesion. A multidisciplinary approach to the fetus can improve neonatal outcome. Careful assessment for other structural anomalies and karyotype analysis should be performed. Delivery at a high-risk perinatal center should be encouraged. Currently, there is no convincing evidence to support routine cesarean section for most abdominal wall defects.

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Section: Omphalocele Versus Gastroschisismentioning

confidence: 99%

Abdominal Wall Defects

Langer

2003

World j. surg.

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“…Solid organs generally remain in the abdominal cavity, but on occasion the gallbladder, uterus, fallopian tubes, urinary bladder, testes and part of the liver may protrude through the defect 2 . Gastroschisis is rarely associated with other congenital anomalies though intestinal atresia is seen in approximately 10% 3,4 . Other intestinal complications can include malrotation, midgut volvulus with necrosis (< 6%), hypoperistalsis and intestinal stenoses 2,5 .…”

Section: Discussionmentioning

confidence: 99%

Anterior abdominal wall defects and biliary obstruction

Teoh

Wong²,

Martin

et al. 2005

J Paediatrics Child Health

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Three infants with anterior abdominal wall defects (gastroschisis and exomphalos) who presented with obstructive jaundice secondary to biliary obstruction, are described. All three infants had abnormal biliary systems, with mechanical distortion of the biliary tree. Biliary obstruction secondary to structural biliary anomalies should be considered in patients with abdominal wall defects and cholestasis, as prolonged unrelieved biliary obstruction may lead to biliary cirrhosis and portal hypertension.

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Gastroschisis and omphalocele

Molenaar

Tibboel

1993

World j. surg.

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It has been widely acknowledged that exomphalos and gastroschisis are two different clinicai entities. Their etiology and pathogenesis, however, remain controversial. Several techniques are available for making a prenatal diagnosis of these as well as many other malformations. Some prenatal treatment is possible, but operative management is the more usual course. In most cases, of omphalocele and gastroschisis, treated either conservatively or by any kind of surgery, intensive care is mandatory to support nutrition and often ventilation as well. Enterai nutrition at an early stage during the postoperative period might lead to bouts of necrotizing enterocolitis requiring aggressive medical treatment and sometimes even operative treatment.

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Gastroschisis Associated with Atresia - A Plea for Delay in Resection

Cited by 4 publications

References 5 publications

Abdominal Wall Defects

Abdominal Wall Defects

Anterior abdominal wall defects and biliary obstruction

Gastroschisis and omphalocele

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