Abstract
Twenty-seven infants with gastroschisis diagnosed prenataly by ultrasound between January 1983 and June 1989 were operated upon in the Department of Pediatric Surgery at St Vincent de Paul's Hospital, Paris; 21 other infants with gastroschisis were operated upon during the same period. The operative findings, procedures, and outcome were correlated to information on the prenatal ultrasound scans and mode of delivery. This study, emphasizing the results reported in the literature, points out some features of the ultrasound scans. The postnatal outcome appeared to be well correlated with intestinal damage (atresia-ischemia) and the degree of fibrosis and inflammation of the eviscerated bowel. It is possible to predict the extent of bowel damage by antenatal ultrasound, and therefore parental counseling, modes of transfer, and timing of delivery can be predetermined. The mode of delivery did not appear to influence the outcome in this series.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Bargy F, Sapin E, Wakim A, Rouquet Y, Kurzenne JY (1987) Vaginal delivery: a routine for gastroschisis birth. International fetal medecine and surgery society, Mac Kinac Island, Michigan
Bethel CAI, Seashore JH, Touloukian RJ (1989) Cesarean section does not improve out come in gastroschisis. J Pediatr Surg 24: 1–4
Bond SJ, Harrison MR, Filly RA, Callen PN, Anderson RA, Golbus MS (1988) Severity of intestinal damage in gastroschisis: correlation with prenatal sonographic findings. J Pediatr Surg 23: 520–525
Davidson JM, Johnson TRB, Rigdon DT et al (1984) Gastroschisis and omphalocele: prenatal diagnosis and perinatal Prenat Diagn 4: 355–363
Fitzsimmons J, Nyberg DR, Cyr DR, et al (1988) Perinatal managenent of gastroschisis. Obstet Gynecol 71: 910–913
Kirk EP, Wah RM (1983) Obstetric management of the fetus with omphalocele or gastroschisis: a review and report of one hundred twelve cases. J Obstet Gynecol 146: 512–518
Langer JC, Harrison MR, Adzick NS, Longaker MT, Crombleholme TM, Golbus MS, Anderson RL, Callen PW, Filly RA (1987) Perinatal management of the fetus with an abdominal wall defect. Fetal Ther 2: 216–221
Roberts JP, Burge DM (1990) Antenatal diagnosis of abdominal wall defects: a missed oppurtunity? Arch Dis Child 65: 687–689
Sermer M, Benzy RJ, Pitson L, Carr M, Fridmore M (1987) Prenatal diagnosis and management of congenetal defects of the anterior abdominal wall. Am J Obstet Gynecol 156: 308–312
Sapin E, Kurzenne JY, Bargy F, Helardot PG (1988) Laparoschisis: hypotrophie et lésions intestinales. Chir Pediatr 29: 1–6
Tibboel D, Raine P, Mc Nee M, Azmy A, Kluck P, Young D, Molenaar JC (1986) Developmental aspects of gastroschisis. J Pediatr Surg 21: 865–869
Author information
Authors and Affiliations
Additional information
Correspondence to: E. Sapin
Rights and permissions
About this article
Cite this article
Sapin, E., Lewin, F., Baron, J.M. et al. Prenatal diagnosis and management of gastroshisis. Pediatr Surg Int 8, 31–33 (1993). https://doi.org/10.1007/BF02352997
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02352997