Intestinal atresia in association with gastroschisis: a 26-year review

Abstract

Differences in outcome between the management strategies are likely to reflect an inherent variability in patient condition, site of atresia, and bowel suitability for anastomosis at first surgery, rather than the mode of surgical management. Individual management plans should be tailored to the clinical condition of each patient.

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

“…[48][49][50] Furthermore, newborns with gastroschisis and associated BA were found to be more TPN dependent, at higher risk of chronic liver damage (eg, cholestasis), and have severe infectious complications. 5,51 Published series showed that only 60% of the time was possible to confirm an atresia at birth or during the first surgical procedure (primary closure or silo placement). 49,51,52 Even if a BA is identified at birth, the surgeon is often facing the dilemma whether performing an early or a delayed repair of the interrupted intestine.…”

“…5,51 Published series showed that only 60% of the time was possible to confirm an atresia at birth or during the first surgical procedure (primary closure or silo placement). 49,51,52 Even if a BA is identified at birth, the surgeon is often facing the dilemma whether performing an early or a delayed repair of the interrupted intestine. [51][52][53] The main surgical concerns in this situation are about the degree of bowel inflammation, edema, necrosis, and the increased abdominal pressure after the abdominal wall closure that can all increase the risk of surgical complications.…”

“…49,51,52 Even if a BA is identified at birth, the surgeon is often facing the dilemma whether performing an early or a delayed repair of the interrupted intestine. [51][52][53] The main surgical concerns in this situation are about the degree of bowel inflammation, edema, necrosis, and the increased abdominal pressure after the abdominal wall closure that can all increase the risk of surgical complications. For this reason, being able to predict the presence of BA in newborns with gastroschisis could significantly help the surgeon to plan the repair, either with an anastomosis or with a diverting ileostomy at the time of the abdominal wall closure.…”

Abdominal wall defects: omphalocele and gastrschisis

“…En fazla görülen birliktelik bağırsak atrezisidir. Son çalışmalarda %6,9-28'e kadar ulaşan bir oran bildirilmiştir (76,77) .…”

Term pregnancy with gastroschisis presenting as prolapsed bowel loops

“…[4][5][6] t is necessary to deliver such patients at a tertiary care centre with good neonatology and paediatric surgery units for proper management and repair.…”