Accuracy of prenatal ultrasound in detecting jejunal and ileal atresia: systematic review and meta‐analysis

Virgone, Calogero; D’Antonio, Francesco; Khalil, Asma; Jonh, R.; Manzoli, Lamberto; Giuliani, Stefano

doi:10.1002/uog.14651

Cited by 56 publications

(47 citation statements)

References 33 publications

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“…24,33,41 In a recent systematic review, our group explored the role of prenatal ultrasound in detecting non-duodenal small bowel atresia in otherwise normal fetuses. 47 We found that ultrasound had a poor accuracy in detecting small bowel atresia either using bowel dilatation or polyhydramnios. In gastroschisis, we could not define the accuracy of prenatal ultrasound in detecting BA but we could calculate a four times increased risk when IABD was present.…”

Section: Comparison With Other Systematic Reviewsmentioning

confidence: 76%

Prenatal Risk Factors and Outcomes in Gastroschisis: A Meta-Analysis

et al. 2015

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BACKGROUND AND OBJECTIVE: Gastroschisis is a congenital anomaly with increasing incidence, easy prenatal diagnosis and extremely variable postnatal outcomes. Our objective was to systematically review the evidence regarding the association between prenatal ultrasound signs (intraabdominal bowel dilatation [IABD], extraabdominal bowel dilatation, gastric dilatation [GD], bowel wall thickness, polyhydramnios, and small for gestational age) and perinatal outcomes in gastroschisis (bowel atresia, intra uterine death, neonatal death, time to full enteral feeding, length of total parenteral nutrition and length of in hospital stay).

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Section: Comparison With Other Systematic Reviewsmentioning

confidence: 76%

Prenatal Risk Factors and Outcomes in Gastroschisis: A Meta-Analysis

et al. 2015

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“…There have been numerous reports on the antenatal diagnosis of intestinal atresia using two‐dimensional (2D) sonography. HDlive and HDlive inversion mode are useful in the prenatal differentiation of meconium peritonitis from intestinal atresia.…”

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confidence: 99%

HDlive silhouette mode in antenatal diagnosis of jejunal atresia

AboEllail

Tanaka

Mori

et al. 2016

Ultrasound Obstet Gynecol

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“…This is further supported by reports regarding the superiority of foetal MRI in overcoming the limitations associated with sonography, such as operator dependence, inherent inferior image contrast, patient factors such as obesity and small field of view, and non-specific US findings which may relate to transient normal variants [20-22]. The detection of jejunal and ileal atresia with US alone is low with detection rates of 66.3 and 25.9%, respectively, and MRI has been shown to improve detection of small and large bowel obstructions, malrotation, and perforations resulting in meconium peritonitis or pseudocyst [20-23]. Although jejunoileal atresia is associated with a good survival rate, surgical therapy should be expedited; hence, cases with prenatal suspicions warrant careful postnatal assessment with plain abdominal radiograph or enema studies, even if the prenatal ultrasonographic differences have resolved prior to delivery [24].…”

Section: Discussionmentioning

confidence: 99%

Isolated Ascites in a Monochorionic Twin after Fetoscopic Laser Ablation Is Not Necessarily Secondary to Recurrence or Anaemia: Bowel Complications in Twin-to-Twin Transfusion Syndrome after Fetoscopic Laser Ablation

et al. 2018

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Background/Purpose: We report a case study of jejunal atresia and the results of a systematic literature review of all reported cases of bowel complications occurring after fetoscopic laser ablation (FLA) for the treatment of twin-to-twin transfusion syndrome (TTTS). Methods: A systematic literature review was performed of bowel complications after FLA for TTTS according to PRISMA guidelines. Results: There are 11 published cases of small bowel atresia, 5 cases of necrotising enterocolitis (NEC), and 2 cases with foetal bowel perforations. Recipient twins were more likely to be affected by small bowel atresia (7 recipient and 4 donor cases) and NEC (3 recipient and 2 donor twins). Prenatal ultrasonographic abnormalities were demonstrated in 7 out of 9 cases with bowel atresia and in both cases of bowel perforation. The overall survival rate for neonates with bowel complications after FLA is 72%, but is much lower for co-twins at 22%. The survival rates for jejunoileal atresia and NEC are 91 and 40%, respectively. Conclusions: It is uncertain as to whether these bowel anomalies are due to bowel ischaemia associated with TTTS, the treatment with FLA, or a combination of both. Cases with prenatal abdominal ultrasonographic abnormalities after FLA should have close prenatal and postnatal assessment to detect bowel complications.

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Accuracy of prenatal ultrasound in detecting jejunal and ileal atresia: systematic review and meta‐analysis

Abstract: Objective

Cited by 56 publications

References 33 publications

Prenatal Risk Factors and Outcomes in Gastroschisis: A Meta-Analysis

Prenatal Risk Factors and Outcomes in Gastroschisis: A Meta-Analysis

HDlive silhouette mode in antenatal diagnosis of jejunal atresia

Isolated Ascites in a Monochorionic Twin after Fetoscopic Laser Ablation Is Not Necessarily Secondary to Recurrence or Anaemia: Bowel Complications in Twin-to-Twin Transfusion Syndrome after Fetoscopic Laser Ablation

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