Vanishing Gastroschisis and Short-Bowel Syndrome

Barsoom, Michael; Prabulos, Anne-Marie; Rodis, John F.; Turner, Garry

doi:10.1097/00006250-200011001-00008

Cited by 17 publications

(22 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The latter complication affects approximately 15% of infants born with gastroschisis [3,4]. In the severest cases, necrosis and loss of large portions of small or large bowel occur resulting in the so-called vanishing bowel syndrome [5,6]. Bowel atresia and vanishing bowel are thought to arise from prenatal constriction at the lesion site.…”

mentioning

confidence: 99%

Is there a therapeutic role for fetoscopic surgery in the prenatal treatment of gastroschisis? A feasibility study in sheep

et al. 2009

View full text Add to dashboard Cite

Minimally invasive fetoscopic enlargement of the defect within the abdominal wall is feasible in sheep fetuses with iatrogenic laparoschisis. This approach might benefit human fetuses with gastroschisis considered at high risk for bowel loss by constriction at the defect site. In contrast, return of herniated abdominal viscera followed by abdominal closure is limited by physiological constraints and seems currently not feasible with current fetoscopic instrumentation.

show abstract

mentioning

confidence: 99%

Is there a therapeutic role for fetoscopic surgery in the prenatal treatment of gastroschisis? A feasibility study in sheep

et al. 2009

View full text Add to dashboard Cite

show abstract

“…Case 1 was described by Barsoom et al 8 Gastroschisis was diagnosed in the second trimester after a high maternal AFP. However, at birth, no abdominal wall defect was seen.…”

Section: Discussionmentioning

confidence: 99%

Closed gastroschisis, vanishing midgut and extreme short bowel syndrome: Case report and review of the literature

Dennison

2016

Ultrasound

View full text Add to dashboard Cite

Gastroschisis alone has excellent survival rates. Occasionally reported is closed gastroschisis, leading to vanishing small bowel and extreme short bowel syndrome. It is believed that the abdominal wall defect can contract or close in utero, which leads to strangulation of the eviscerated bowel and the rare ''vanishing gut syndrome.'' This has a very poor prognosis with mortality as high as 70%. An 18-year-old primigravid patient's 13 week scan diagnosed a large gastroschisis affecting the fetus. After counselling, she decided to continue with the pregnancy. Between 20 and 22 weeks, the gastroschisis disappeared, and the bowel within the abdomen became markedly dilated. Spontaneous labour occurred at 33 þ 3 weeks gestation. There was no abdominal wall defect seen at delivery. Imaging and an exploratory laparotomy demonstrated absence of most of the midgut. Because available options for treatment would be very aggressive and risky, palliative care was thought to be the most feasible and practical option. He died at home on day 29 after birth. Extreme short gut syndrome (less than 25 cm of remaining small bowel) is rare. There are 13 reported cases in the literature from year 2000 to 2013. Treatment is aggressive and involves a bowel lengthening procedure or small bowel transplant. All require total parenteral nutrition and liver failure, and liver transplant is a common complication. Of these cases, 12 were born alive and 7 had aggressive treatment. Only two cases were confirmed to still be alive in infancy. If gastroschisis is seen to be reducing and ''disappearing'' antenatally, parents should be made aware of this rare complication so that they might be prepared if a poor outcome is anticipated.

show abstract

“…C'est, en effet, Johnson et al qui publient le premier cas de disparition complète d'un laparoschisis, associée à une atré-sie intestinale, en 1971 [4]. Depuis lors, seulement 11 cas de fermeture pariétale complète ont été décrits ; dans six cas, la fermeture s'accompagnait d'une réintégration apparente des anses digestives [4][5][6][7][8][9] alors que, pour les cinq autres, persistait à la naissance une masse tissulaire, partiellement nécrotique, appendue au cordon ombilical [10][11][12][13][14]. Pour les six premiers nouveau-nés, l'observation, à la naissance, n'objectivait aucune cicatrice cutanée ; l'insertion cordonale ainsi que la paroi abdominale étaient normales et aucun signe pouvant faire évoquer l'existence, in utero, d'un laparoschisis n'était noté (Tableau 1).…”

Section: Discussionunclassified

Disparition prénatale spontanée d’un laparoschisis : une évolution de mauvais pronostic

Foucher

Hervé

Lardy

et al. 2008

Journal de Gynécologie Obstétrique et Biologie de la Reproducti

View full text Add to dashboard Cite

Vanishing Gastroschisis and Short-Bowel Syndrome

Cited by 17 publications

References 7 publications

Is there a therapeutic role for fetoscopic surgery in the prenatal treatment of gastroschisis? A feasibility study in sheep

Is there a therapeutic role for fetoscopic surgery in the prenatal treatment of gastroschisis? A feasibility study in sheep

Closed gastroschisis, vanishing midgut and extreme short bowel syndrome: Case report and review of the literature

Disparition prénatale spontanée d’un laparoschisis : une évolution de mauvais pronostic

Contact Info

Product

Resources

About