Stomach Birth Defect Rate Doubled Over 2 Decades
Gastroschisis, a hole in the abdominal wall, more common in babies born to teen mothers
Publication date: Available online 17 April 2019Source: European Journal of Obstetrics &Gynecology and Reproductive BiologyAuthor(s): João P. Bilibio, Alinne M. Beltrão, Ana C. Vargens, Thiago B. Gama, Pânila L. LorenzzoniAbstractObjectiveTo evaluate the prognostic factors related to mortality in neonates with gastroschisis, ranging from prenatal care to corrective surgery.Study DesignA retrospective cohort study was conducted and included neonates with gastroschisis who underwent surgical correction from 2010 to 2015. The patients were divided into two groups based on postoperative outcomes: those ...
Concerning the excellent paper “Closing gastroschisis: The good, the bad, and the not-so ugly” by Perrone et al. , we would like to add some comments regarding the type A of the classification proposed by the authors (bowel that is significantly constricted at the ring with ischemia but without atresia). In our opinion it is difficult to assume that a patient presenting a nonischemic bowel at the moment of birth has not been a type A before, as the interaction between size/rigidity of the ring and volume of extruding mesentery/bowel is dynamic.
Lily-Rae Lawrence, of Sheffield, was born with the birth defect gastroschisis, which occurs when the bowels exit the body via a hole near the belly button. She turns one on Thursday.
We appreciate the letter from Eyer Jesus, et al. in response to our study of infants with closing gastroschisis. The authors note that bowel that appears well perfused and without atresia at birth may be plagued with prolonged dysfunction after closure. They describe a case in which a patient with gastroschisis had no signs of ischemia at fascial closure, but subsequently required three operations for obstructive symptoms that appeared to be because of, sequentially, necrosis, stenosis, and atony.
CONCLUSION: Additional genetic disorders are more frequent in those with omphalocele cases, and they are more frequently terminated during gestation that the gastroschisis fetuses. PMID: 30892123 [PubMed - as supplied by publisher]
Survival of newborns with gastroschisis is significantly higher in high-income versus low and middle-income countries. We reviewed treatment and outcomes of gastroschisis in a middle-income country setting with increasing protocolized management.
No abstract available
Publication date: Available online 21 February 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Tsubasa Shironomae, Yutaka Hirayama, Koko Yoshida, Kyoko Morikawa, Hirotomo Nakahara, Takumi Kurabayashi, Yasushi IinumaAbstractWe herein report an unusual case of multiple atresia and impending rupture of the small intestine in a patient with gastroschisis. Gradual bowel dilatation and thinning of the bowel wall were confirmed at our institution by fetal imaging, which led to the suspicion of intestinal atresia. The patient underwent repair of the perforation and small intestinal resection, formation of a separat...
Is there an association between opioid use during pregnancy and gastroschisis, a rare but increasing birth defect?Morbidity &Mortality Weekly Report
In Reply In their letter, Reece and Hulse suggest there may be a correlation between cannabis consumption and gastroschisis based on the high consumption of cannabis in counties where we have found high rates of gastroschisis. To be clear, Reece and Hulse are inaccurate in their statement that we “found rurality was a risk factor for cannabis use.” Instead, we found higher rates of gastroschisis in rural counties. In a follow-up study, we found that fetal exposure to drugs other than alcohol, cocaine, narcotics, or hallucinogenics (odds ratio [OR], 3.27; 95% CI, 1.05-10.15;P = .04) and other noxio...