Late follow-up in patients with gastroschisis

Fasching, G.; Huber, A.; Uray, E; Sorantin, Erich; Mayr, Johannes

doi:10.1007/bf00183736

Cited by 20 publications

(14 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Lindham described similar results in Swedish patients,6 but fewer North American or Austrian children were affected, which may reflect study methodology or cultural differences 910 Current surgical methods should aim to conserve the umbilicus whenever possible 16…”

Section: Discussionmentioning

confidence: 69%

“…While this observation has been disputed,10 more detailed studies have shown that catch up growth occurs throughout childhood, mostly within the first five years, leading to normal centile ranks in older children 68 9 Children with gastroschisis complicated by intestinal atresia fare less well,8 and both of our subjects with an atresia were below the 25th centile for weight.…”

Section: Discussionmentioning

confidence: 80%

“…Shorter term follow up studies have recorded a higher prevalence of this symptom,6 9 which may indicate that either spontaneous improvement or adaptation occurs with age. Investigations in such patients have generally found no pathology,6 8 but pathological acid gastro-oesophageal reflux was present in four of 13 symptomatic patients in one study 9. Swartz et al found that chronic abdominal complaints in general were confined to those who had undergone intestinal resection as well as gastroschisis repair 8.…”

Section: Discussionmentioning

confidence: 99%

“…The abnormal character of the bowel at birth and the prolonged initial ileus might be expected to predispose to future bowel obstruction, malabsorption, abnormal bowel habit, or chronic abdominal pain. Previous outcome studies have been limited by small numbers of patients,3-7 follow up for mean periods of less than 10 years,8 9 or by analysis of data concentrating on survival and reoperation 10. Few studies have attempted to trace adult survivors and many have confused the issue by analysing all congenital anterior abdominal wall defects and therefore including the very different condition of exomphalos 5-7…”

mentioning

confidence: 99%

See 3 more Smart Citations

The survivors of gastroschisis

Davies

Stringer

1997

Archives of Disease in Childhood

View full text Add to dashboard Cite

Aims-To assess the long term morbidity and quality of life in survivors of gastroschisis. Design-All babies born with gastroschisis between 1972 and 1984 and who survived more than one year were identified. Those who could be traced were questioned about their general health, growth, abdominal symptoms, cosmetic concerns, education, employment, and fertility. Results-Of the 35 patients, two have died, seven could not be traced, and three declined to be interviewed. Twenty three subjects (70% of survivors) with a median age of 16 years (range 12-23 years) responded. Twenty two (96%) were in good health and overall growth was within normal limits. Eight subjects (35%) have had further surgery related to gastroschisis, including two for adhesive small bowel obstruction and three for scar complications. In 13 (57%), absence of an umbilicus caused distress during childhood. Conclusion-Most gastroschisis survivors can eventually expect normal growth and good health. Adhesive bowel obstruction is an uncommon, but potentially late, complication. The umbilicus should be conserved during gastroschisis repair. (Arch Dis Child 1997;77:158-160)

show abstract

Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

The survivors of gastroschisis

Davies

Stringer

1997

Archives of Disease in Childhood

View full text Add to dashboard Cite

show abstract

“…more likely [12,13], the question of whether there is indeed a higher risk for familial recurrence becomes more pressing.…”

mentioning

confidence: 98%

Familial recurrence of gastroschisis

Köhl

Wiesel

Schier

2010

Journal of Pediatric Surgery

View full text Add to dashboard Cite

Gastroschisis: sonographic diagnosis, associations, management and outcome

2008

View full text Add to dashboard Cite

Gastroschisis is a defect in the abdominal wall, typically on the right side of a normally inserted umbilical cord through which bowel and other abdominal contents herniate. Classically, no membrane covers the herniated abdominal contents, which distinguishes the defect from exomphalos, an important differential diagnosis. Gastroschisis is usually diagnosed prenatally using ultrasound examination. The prevalence is increasing worldwide from approximately 0.1 per 10,000 total births in the 1970s to over 5 in the early 2000s. The reasons for this are unknown, but factors such as maternal smoking, recreational drugs and young maternal age are strongly associated with the defect. The increasing prevalence is causing concern because the cost of treating gastroschisis is high. Neonatal morbidity depends on significant complicating factors such as bowel atresia or necrosis and prolonged post-operative ileus. Foetuses with gastroschisis are more likely to be born premature and with intra-uterine growth restriction, both of which contribute to the morbidity. Gastroschisis requires early surgery after birth, often followed by prolonged neonatal care. However, advances in surgical and post-operative care in the last decade have meant that currently 90% of affected neonates survive, with few long-term problems.

show abstract

Late follow-up in patients with gastroschisis

Cited by 20 publications

References 16 publications

The survivors of gastroschisis

The survivors of gastroschisis

Familial recurrence of gastroschisis

Gastroschisis: sonographic diagnosis, associations, management and outcome

Contact Info

Product

Resources

About