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ISSN 0187-5337 (Print)
Instituto Nacional de Perinatología

2007, Number 3

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Perinatol Reprod Hum 2007; 21 (3)

Evolución neonatal de pacientes con gastrosquisis

Aguinaga-Ríos M, Hernández-Trejo M

Language: Spanish
References: 15
Page: 133-138
PDF size: 71.12 Kb.


ABSTRACT

Objectives: This study was made to report the surgical experience of a group of neonates born with gastroschisis, evaluating the associated factors of early and late complications.
Patients and methods: Analysis was made of all cases with gastroschisis bornin a five years period (1998-2002) in a tertiary medical institution. Differences between groups were carried out using χ2 and Student’s t-test and the Relative Risk was estimated as Odds Ratio with 95% CI, regression models were made too.
Results: In that period of time, 41 patients were born with gastroschisis; surgical closure was performed within the first 24 hours in 27 (66%) cases who commenced enteral feeding more quickly, and spent less time with ventilatory assistance and in hospital than neonates with whom surgical closure was performed after the first day of life. Between these groups there were no differences of late complications.
Conclusions: The best clinical outcomes are related to the feasibility of early surgical closure.


REFERENCES

  1. Paidas MJ, Crombleholme TM, Robertson FM. Prenatal diagnosis and management of the fetus with an abdominal-wall defect. Semin Perinatol 1994; 18: 196-214.

  2. Penman DG, Fisher RM, Noblett HR, Soothill PW. Increase in incidence of gastroschisis in the south west of England in 1995. BJOG 1995; 105: 328-31.

  3. Suita S, Okamatsu T, Yamamoto T. Changing profile of abdominal wall defects in Japan: results of national survey. J Ped Surg 2000; 35: 66-71.

  4. Hoyme HE, Jones MC, Jones Kl. Gastroschisis: abdominal wall disruption secondary to early gestational interruption of the omphalomesenteric artery. Semin Perinatol 1983; 7: 294-8.

  5. Nichols CR, Dickinson JE, Pemberton PJ. Rising incidence of gastroschisis in teenage pregnancies. J Mat Fet Med 1997; 6: 225-9.

  6. Torfs CP, Lam PK, Schaffer DM, Brand RJ. Association between mothers’ nutrient intake and their offspring’s risk of gastroschisis. Teratology 1998; 58: 241-50.

  7. Langer JC. Gastroschisis and omphalocele. Semin Pediatr Surg 1996; 5: 124-8.

  8. Stringer MD, Brereton RJ, Wright VM. Controversies in the management of gastroschisis: a study of 40 patients. Arch Dis Child 1991; 66: 34-6.

  9. Kidd J, Jackson R, Smith S, Wagner C. Evolution of staged versus primary closure of gastroschisis. Ann Surg 2003; 237: 759-65.

  10. Singh SJ, Fraser A, Leditschke, Spence K, Kimble R, Dalby-Payne J, et al. Gastroschisis: determinants of neonatal outcome. Pediatr Surg Int 2003; 19: 260-5.

  11. Puligandla PS, Janvier A, Flageole H, Bouchard S, Mok E, Laberge JM. The significance of intrauterine growth restriction is different from prematurity for the outcome of infants with gastroschisis. J Pediatr Surg 2004; 39: 1200-4.

  12. Di Tanna GL, Rosano A, Mastroiacovo P. Prevalence of gastrsochisis at birth: retrospective study. BMJ 2002; 325: 1389-90.

  13. Werler M, Sheehan J, Mitchell A. Maternal medication use and risks of gastroschisis and small intestinal atresia. Am J Epidemiol 2002; 155:1: 26-31.

  14. Salihu HM, Emusu D, Aliyu ZY, Pierre-Louis BJ, Drushel CM and Kirby RS. Mode of delivery and neonatal survival of infants with isolated gastroschisis. Obstet Gynecol 2004; 104: 678-83.

  15. Davies BW, Stringer MD. The survivors of gastroschisis. Arch Dis Child 1997; 77: 158-60.




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