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Prenatal ultrasonographic gastrointestinal abnormalities in fetuses with gastroschisis do not correlate with postnatal outcomes.

Abstract：

PURPOSE:In the setting of gastroschisis, the clinical significance of prenatal ultrasound findings of secondary changes in bowel appearance remains unknown. The purpose of this study was to correlate prenatal identification of additional gastrointestinal sonographic abnormalities with postnatal clinical outcome. METHODS:A retrospective review was conducted on 64 fetuses with a prenatal diagnosis of gastroschisis treated at the Children's Hospital of Philadelphia from 2000 to 2007. Postnatal outcomes were compared between newborns with additional sonographic gastrointestinal abnormalities and those without secondary changes to the bowel appearance. RESULTS:Thirty (47%) patients had at least one gastrointestinal abnormality (eg, bowel dilatation, echogenic bowel, thickened bowel, matted bowel, herniation of the stomach through the abdominal wall defect, or segmental loss of bowel peristalsis) on prenatal ultrasound. There were no significant differences between groups with respect to the time to initial and full enteral nutrition, total hospital stay, requirement for ventilator support, central line infection rates, reoperation rates, or mortality. CONCLUSIONS:In the setting of gastroschisis, isolated findings of gastrointestinal abnormalities on prenatal ultrasound do not correlate with adverse postnatal outcome.

journal_name

J Pediatr Surg

journal_title

Journal of pediatric surgery

authors

Badillo AT,Hedrick HL,Wilson RD,Danzer E,Bebbington MW,Johnson MP,Liechty KW,Flake AW,Adzick NS

doi

10.1016/j.jpedsurg.2007.09.016

subject

Has Abstract

pub_date

2008-04-01 00:00:00

pages

647-53

issue

4

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(07)00685-9

journal_volume

43

pub_type

杂志文章

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