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Isolated prenatal ultrasound findings predict the postnatal course in gastroschisis

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Abstract

Purpose

The aim of the study was to identify which prenatal ultrasonographic findings in fetuses with gastroschisis correlate with complicated postnatal outcome.

Methods

Ultrasound findings at the 30th week of pregnancy and medical reports were statistically analyzed to identify independent prenatal ultrasonographic predictors of postnatal outcome.

Results

Completed prenatal data were gathered from 64 pregnancies. Prenatal intra-abdominal bowel dilatation (cutoff 10 mm) correlated with the presence of atresia (p < 0.01), longer administration of parenteral nutrition, extended hospital stay (median 53 vs. 21 days; 68 vs. 36 days, both p < 0.05), and greater number of additional surgical procedures (p < 0.05). Infants with antenatal presence of thickened bowel wall (greater than or equal to 3 mm) required longer administration of parenteral nutrition (median 34 vs. 20 days; p < 0.01) and prolonged stay (median 44 vs. 37 days; p < 0.05). Presence of oligohydramnion (amniotic fluid index below 8 cm) was connected with longer administration of parenteral nutrition in newborns (median 30 vs. 16 days; p < 0.05).

Conclusion

The isolated presence of oligohydramnion with amniotic fluid index below 8 cm, thickened bowel wall equal to or more than 3 mm and the prenatal intra-abdominal dilatation with 10 mm cutoff had significant predictive value for the adverse postnatal outcome of patients with gastroschisis.

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Acknowledgment

Supported by a Grant NT/13483 Ministry of Health Czech Republic and OPPK CZ.2.16/3.1.00/24022

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Paediatric Surgery, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital, V Úvalu 84, 15006, Prague 5, Czech Republic

    Barbora Frybova, Alena Kokesova & Michal Rygl

  2. Department of Obstetrics and Gynaecology, Charles University in Prague and Motol University Hospital, V Úvalu 84, 15006, Prague 5, Czech Republic

    Radovan Vlk

Authors
  1. Barbora Frybova
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  2. Radovan Vlk
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  3. Alena Kokesova
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  4. Michal Rygl
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Correspondence to Michal Rygl.

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Frybova, B., Vlk, R., Kokesova, A. et al. Isolated prenatal ultrasound findings predict the postnatal course in gastroschisis. Pediatr Surg Int 31, 381–387 (2015). https://doi.org/10.1007/s00383-015-3675-2

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  • DOI: https://doi.org/10.1007/s00383-015-3675-2

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