Gastroschisis in one twin neonate with extracorporeal liver
We report a rare case of gastroschisis with extracorporeal liver suspected on late first trimester ultrasound and confirmed with second trimester ultrasound and magnetic resonance imaging in one fetus in a twin pregnancy. Liver herniation is common in omphalocele, a membrane-covered abdominal wall defect associated with other congenital anomalies. However, it is highly uncommon in gastroschisis, an uncovered abdominal wall defect aside of the cord insertion. Presence of liver herniation complicates prenatal differentiation between omphalocele and gastroschisis. The twins were born at 31 weeks' gestation due to preterm labo...
Source: Baylor University Medical Center Proceedings - November 4, 2021 Category: Universities & Medical Training Authors: Kayla Hudson Krista L Birkemeier Hayden Stagg Steven R Allen Source Type: research

Gastroschisis Complicated by Colonic Atresia
CONCLUSIONS: Gastroschisis with intestinal atresia is associated with increased hospital length of stay, longer duration of parenteral nutrition, more severe intestinal dysfunction, increased surgical complications, and higher mortality than gastroschisis or intestinal atresia alone. With associated colonic atresia, loss of a significant length of bowel due to necrosis, including the ileocecal region, is almost unavoidable. An already compromised blood supply to the atretic bowel is further impaired by a tight abdominal wall defect and postnatal increases in gravitational force. Complicated gastroschisis remains a complex ...
Source: The American Surgeon - November 3, 2021 Category: Surgery Authors: Hayley M Everett S Dave Bhattacharya Source Type: research

Gastroschisis Complicated by Colonic Atresia
CONCLUSIONS: Gastroschisis with intestinal atresia is associated with increased hospital length of stay, longer duration of parenteral nutrition, more severe intestinal dysfunction, increased surgical complications, and higher mortality than gastroschisis or intestinal atresia alone. With associated colonic atresia, loss of a significant length of bowel due to necrosis, including the ileocecal region, is almost unavoidable. An already compromised blood supply to the atretic bowel is further impaired by a tight abdominal wall defect and postnatal increases in gravitational force. Complicated gastroschisis remains a complex ...
Source: The American Surgeon - November 3, 2021 Category: Surgery Authors: Hayley M Everett S Dave Bhattacharya Source Type: research

IJERPH, Vol. 18, Pages 11166: The Financial Burden of Surgery for Congenital Malformations —The Austrian Perspective
IJERPH, Vol. 18, Pages 11166: The Financial Burden of Surgery for Congenital Malformations—The Austrian Perspective International Journal of Environmental Research and Public Health doi: 10.3390/ijerph182111166 Authors: Paolo Gasparella Georg Singer Bernhard Kienesberger Christoph Arneitz Gerhard Fülöp Christoph Castellani Holger Till Johannes Schalamon Neonatal “surgical” malformations are associated with higher costs than major “non-surgical” birth defects. We aimed to analyze the financial burden on the Austrian health system of five congenital malformations requiring timely postnatal s...
Source: International Journal of Environmental Research and Public Health - October 24, 2021 Category: Environmental Health Authors: Paolo Gasparella Georg Singer Bernhard Kienesberger Christoph Arneitz Gerhard F ülöp Christoph Castellani Holger Till Johannes Schalamon Tags: Article Source Type: research

Gastroschisis Prognostic Score Predicts High-risk Newborns with Gastroschisis in a Middle-income Country
This study aimed to validate the GPS as a prognostic tool in a public hospital within a middle-income country. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Fabio Botelho, Renan Farias R. Viana, Sherif Galal S. Emil, Pramod S. Puligandla, Vivian Resende, Bernardo A. Campos, Paulo Cruzeiro, Clecio Picarro, Ricardo Paixao, Marcelo E. Miranda Tags: Pediatric Surgery Source Type: research