Reference curves for the normal fetal small bowel and colon diameters; their usefulness in fetuses with suspected dilated bowel

Lap, C.C.; Voskuilen, Charlotte S.; Pistorius, Lourens R.; Mulder, Eduard J. H.; Visser, Gerard H.A.; Manten, G. T. R.

doi:10.1080/14767058.2018.1498837

Cited by 11 publications

(9 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Intraabdominal bowel dilatation is commonly accepted as the only prenatal criterion for complex gastroschisis in neonates presenting with bowel atresia, perforation, necrosis or volvulus 11,13,28,29,34 We assessed the presence of bowel dilatation using an objective cutoff of 6 mm, as this has previously been reported as normal, but acknowledging that the definition of bowel dilation varies widely between study to study 27,35 . The least intraabdominal bowel dilatation in our cohort was 12 mm, which is well above the 6 mm threshold.…”

Section: Discussionmentioning

confidence: 84%

“…The US and MRI parameters collected and re‐interpreted by expert fetal sonographers and pediatric radiologists were herniated organs, defect size, thickened bowel (>3 mm), 25 intraabdominal bowel dilatation, extraabdominal bowel dilatation, impaired peristalsis of herniated loops, gastric bubble characteristics (stomach location and size), and fetal growth restriction (FGR) 26 . Although the distinction between the small intestine and colon can be difficult, bowel dilatation was defined as inner to inner wall > 6 mm for intestine and >19 mm for colon 27 on US. For MRI examinations, the threshold for bowel dilatation was the same 20 .…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Can fetal magnetic resonance imaging aid prognosis in gastroschisis: A multicenter study

Codaccioni

Macé

Gorincour³

et al. 2022

Prenatal Diagnosis

View full text Add to dashboard Cite

Objective To assess the contribution and impact of fetal magnetic resonance imaging (MRI) in managing fetal gastroschisis. Methods We conducted an observational retrospective study of gastroschisis patients at three fetal medicine centers from 2008 to 2019. The primary endpoint was the number of cases in which the MRI provided relevant information related to gastroschisis. Results A total of 189 patients were included, and our study group included 38 patients who underwent MRI. For the eight patients with suspected gastroschisis, MRI confirmed the diagnosis. In six cases, it provided additional relevant information (spiral turn, intestine ischemia, and bowel size discrepancy). For the 17 patients with ultrasound signs of additional gastrointestinal anomalies, MRI detected one case of unidentified complex gastroschisis on sonography. For the 13 patients undergoing routine MRI, no significant information was obtained. One termination of pregnancy and one fetoscopy were performed a few days after the MRI results. There was no subsequent follow‐up or additional bowel complications to support management. Conclusion Although MRI did not change the management of pregnancies complicated by fetal gastroschisis, patients presenting with fetal gastroschisis with intraabdominal bowel dilatation could benefit from MRI to allow for more precise prenatal counseling to predict postnatal intestinal complications before birth.

show abstract

Section: Discussionmentioning

confidence: 84%

Section: Methodsmentioning

confidence: 99%

Can fetal magnetic resonance imaging aid prognosis in gastroschisis: A multicenter study

Codaccioni

Macé

Gorincour³

et al. 2022

Prenatal Diagnosis

View full text Add to dashboard Cite

show abstract

“…Intestinal volvulus without malrotation is associated with a high risk of massive bowel necrosis and peritonitis in neonates [6] . However, only 26 % of foetuses with intestinal dilation have abnormalities after birth [16] . On prenatal ultrasound examination, fetal bowel dilatation appears as fluid-filled intestinal loops greater than 7 mm.…”

Section: Discussionmentioning

confidence: 99%

Intrauterine intestinal volvulus without malrotation presenting neonatal abdominal compartment syndrome

Matsushima

Katsura

et al. 2022

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

“…Fetal dilated bowel loops are a sign of intestinal obstruction of various etiologies such as bowel atresia, intestinal volvulus, and meconium ileus. However, it also can be transient or found in fetuses with no abnormality at postnatal evaluation [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Prenatal Ultrasound Suspicion of Cystic Fibrosis in a Multiethnic Population: Is Extensive CFTR Genotyping Needed?

Mekki

Aissat

Mirlesse

et al. 2021

Genes

View full text Add to dashboard Cite

In families without a Cystic Fibrosis (CF) history, fetal ultrasound bowel abnormalities can unexpectedly reveal the disease. Isolated or in association, the signs can be fetal bowel hyperechogenicity, intestinal loop dilatation and non-visualization of fetal gallbladder. In these cases, search for CF transmembrane conductance regulator (CFTR) gene mutations is part of the recommended diagnostic practices, with a search for frequent mutations according to ethnicity, and, in case of the triad of signs, with an exhaustive study of the gene. However, the molecular diagnosis remains a challenge in populations without well-known frequent pathogenic variants. We present a multiethnic cohort of 108 pregnancies with fetal bowel abnormalities in which the parents benefited from an exhaustive study of the CFTR gene. We describe the new homozygous p.Cys1410* mutation in a fetus of African origin. We did not observe the most frequent p.Phe508del mutation in our cohort but evidenced variants undetected by our frequent mutations kit. Thanks to the progress of sequencing techniques and despite the difficulties of interpretation occasionally encountered, we discuss the need to carry out a comprehensive CFTR study in all patients in case of fetal bowel abnormalities.

show abstract

Reference curves for the normal fetal small bowel and colon diameters; their usefulness in fetuses with suspected dilated bowel

Cited by 11 publications

References 13 publications

Can fetal magnetic resonance imaging aid prognosis in gastroschisis: A multicenter study

Can fetal magnetic resonance imaging aid prognosis in gastroschisis: A multicenter study

Intrauterine intestinal volvulus without malrotation presenting neonatal abdominal compartment syndrome

Prenatal Ultrasound Suspicion of Cystic Fibrosis in a Multiethnic Population: Is Extensive CFTR Genotyping Needed?

Contact Info

Product

Resources

About