Surgical Management of Gastroschisis

Development of gastroschisis as seen by magnetic resonance imaging

“…The present in‐utero findings in third‐trimester gastroschisis are in line with observations on neonates29–31. The fact that the stomach has also been reported to partly protrude through the abdominal wall defect32–34 is not at variance with the concept presented here, as the mean GA of the third‐trimester fetuses in the present study was 32.9 weeks, while the babies reported in the literature were born at or close to term. This would imply that exteriorization continues until birth, finally also involving the stomach and occasionally other organs.…”

“…The fetuses underwent MRI between November 2004 and May 2010 for further evaluation of abnormal ultrasound findings. Mean ± SD GA was 29.8 ± 5 (range, [21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38] weeks. Three fetuses underwent two studies and were imaged in the second and third trimesters.…”

Clinical considerations in gastroschisis: Incremental advances against a congenital anomaly with severe secondary effects

“…[Bryant et al, 1970; Mahour et al, 1973; Fraser et al, 1976; Aaronson and Eckstein, 1977; Brown et al, 1978; Mabogunje and Mahour, 1984; Bair et al, 1986; Swartz et al, 1986b; Chang et al, 1992; Becmeur et al, 1995; Tunell et al, 1995; Luton et al, 1997; Snyder, 1999; Kitchanan et al, 2000; Molik et al, 2001; Sydorak et al, 2002; Baerg et al, 2003; Brantberg et al, 2004; Eggink et al, 2006; Fratelli et al, 2007; Jager and Heij, 2007; Robbins et al, 2007; Santiago‐Munoz et al, 2007; Vachharajani et al, 2007]. However, in spite of the many advances, the management of gastroschisis is still evolving.…”