Evaluation of prenatal ultrasound diagnosis of fetal abdominal wall defects by 19 European registries

Abstract

ABSTRACT

Gastroschisis. Case report and management in primary care services

“…(7)(8)(9)12) DIAGNOSIS A gastroschisis diagnosis can be achieved in the prenatal stage by means of an ultrasonography, which has high sensitivity and specificity for its detection. Detecting the disease is possible since week 12 (19) with rates of up to 90%, depending on the quality of the equipment used, the institution were the examination is performed and the experience of the staff (19)(20)(21)(22), which would explain why, in this case, the pathology was not detected prenatally, despite the adequate number of controls and two ultrasound scans taken after week 12.…”

Management of Gastroschisis in a Peripheral Hospital

“…This imaging modality is preferred as it is non invasive, rapid and allows real time foetal examination [4]. Antenatal diagnosis allows in-utero transfer, planned delivery in a specialized unit and early counselling of the parents [5].…”

The Euroscan study

“…At present, studies addressing facial clefts 8 , isolated 9 and associated 10 heart malformations, limb reduction deficiencies 11 , neural tube defects 12 and abdominal wall defects 13 The detection rate varied widely between registries, from 62% to 97% for neural tube defects 12 from 11% to 48% for congenital heart disease 9,10 , from 0% to 64% for limb reduction deficiences 11 from 0% to 75% for cleft lip palate 8 , from 0% to 100% for omphalocele and from 18% to 100% for gastroschisis 13 , and from 38% to 72% for gastrointestinal anomalies (Hausler et al, unpublished data) despite the fact that the registries participating in this study used the same methodology. Variations in detection rate may result from differences in operator skill, equipment used, or the gestation at which examinations are performed.…”