Advertisement

Pediatric Surgery pp 1177-1187 | Cite as

Gastroschisis

  • Marshall Z. SchwartzEmail author
  • Shaheen J. Timmapuri
Reference work entry

Abstract

Gastroschisis is a congenital anterior abdominal wall defect which results in herniation of intra-abdominal contents early in utero. Prenatal ultrasonography has become the optimum means of diagnosing gastroschisis. Knowing the diagnosis in advance allows for appropriate resources to be available to facilitate the delivery at or near a tertiary neonatal care center. Meticulous perioperative management is imperative for good patient outcomes. Abdominal closure can be performed primarily or using a staged technique. Congenital or acquired complications, e.g., atresias, perforation, and delayed necrotizing enterocolitis, must be identified promptly and managed carefully. Patient outcomes in gastroschisis are typically excellent, especially if close attention is paid to the details of perioperative management and surgical technique.

Keywords

Gastroschisis Abdominal wall defects Intestinal atresias Silo Prenatal diagnosis 

References

  1. Badillo A, Hedrick H, Wilson R, et al. Prenatal ultrasonographic gastrointestinal abnormalities in fetuses with gastroschisis do not correlate with postnatal outcomes. J Pediatr Surg. 2007;43:647–53.CrossRefGoogle Scholar
  2. Choi W, McBride C, Bourke C, et al. Long-term review of sutureless ward reduction in neonates with gastroschisis in the neonatal unit. J Pediatr Surg. 2012;47:1516–20.CrossRefGoogle Scholar
  3. Christison-Lagay E, Kelleher C, Langer J. Semin Fetal Neonatal Med. 2011;16:164–72.CrossRefGoogle Scholar
  4. D’Antonio F, Virgone C, Rizzo G, et al. Prenatal risk factors and outcomes in gastroschisis: a meta-analysis. Pediatrics. 2015;136(1):e159–69.CrossRefGoogle Scholar
  5. Davis R, Treadwell M, Drongowski R, et al. Risk stratification in gastroschisis: can prenatal evaluation or early postnatal factors predict outcome? Pediatric SurgInt. 2009;25:319–25.Google Scholar
  6. Holland A, Walker K, Badawi N. Gastroschisis: an update. PediatrSurgInt. 2010;26:871–8.Google Scholar
  7. Horton A, Powell M, Wolfe H. Intrauterine growth patterns in fetal gastroschisis. Am J Perinatol. 2010;27:211–8.CrossRefGoogle Scholar
  8. Kong JY, Yeo KT, Abdel-Latif ME, et al. Outcomes of infants with abdominal wall defects over 18 years. J Pediatr Surg. 2016;51(10):1644–9.CrossRefGoogle Scholar
  9. Kuleva M, Khen-Dunlop N, Dumez Y, et al. Is complex gastroschisis predictable by prenatal ultrasound? BJOG. 2012;119:102–9.CrossRefGoogle Scholar
  10. Kunz S, Tieder J, Whitlock K, et al. Primary fascial closure versus staged closure with silo in patients with gastroschisis: a meta-analysis. J Pediatr Surg. 2013;48:845–57.CrossRefGoogle Scholar
  11. Lacey SR, Carris LA, Beyer J, et al. Bladder pressure monitoring significantly enhances care of infants with abdominal wall defects: a prospective clinical study. J Pediatr Surg. 1993;28:1370–5.CrossRefGoogle Scholar
  12. Lap CC, Brizot ML, Pistorius LR, et al. Outcome of isolated gastroschisis; an international study, systematic review and meta-analysis. Early Hum Dev. 2016;103:209–18.CrossRefGoogle Scholar
  13. Levy S, Tsao K, Cox CS, et al. Component separation for complex congenital abdominal wall defects: not just for adults anymore. J Pediatr Surg. 2013;48:2525–9.CrossRefGoogle Scholar
  14. Long A, Court J, Morabito A, et al. Antenatal diagnosis of bowel dilatation in gastroschisis is predictive of poor postnatal outcome. J Pediatr Surg. 2011;46:1070–5.CrossRefGoogle Scholar
  15. McBride CA, Stockton K, Storey K, et al. Negative pressure wound therapy facilitates closure of large congenital abdominal wall defects. Pediatr Surg Int. 2014;30:1163–8.CrossRefGoogle Scholar
  16. Oldham KT, Coran AG, Drongowski RA, et al. The development of necrotizing enterocolitis following repair of gastroschisis: a surprisingly high incidence. J Pediatr Surg. 1988;23:945–9.CrossRefGoogle Scholar
  17. Orion K, Krein M, Liao J, et al. Outcomes of plastic closure in gastroschisis. Surgery. 2011;150:177–85.CrossRefGoogle Scholar
  18. Puligandla PS, Baird R, Skarsgard ED, Emil S, Laberge JM, Canadian Pediatric Surgery Network (CAPSNet). Outcome prediction in gastroschisis – The gastroschisis prognostic score (GPS) revisited. J Pediatr Surg. 2017.; pii: S0022–3468(17)30049–0Google Scholar
  19. Riboh J, Abrajano C, Garber K, et al. Outcomes of sutureless gastroschisis closure. J Pediatr Surg. 2009;44:1947–51.CrossRefGoogle Scholar
  20. Sandler A, Lawrence J, Meehan J, et al. A “plastic” sutureless abdominal wall closure in gastroschisis. J Pediatr Surg. 2004;39:738–41.CrossRefGoogle Scholar
  21. Savoie KB, Huang EY, Aziz SK, et al. Improving gastroschisis outcomes: does birth place matter? J Pediatr Surg. 2014;49:1771–5.CrossRefGoogle Scholar
  22. Schlatter M, Norris K, Uitvlugt N, et al. Improved outcomes in the treatment of gastroschisis using a preformed silo and delayed repair approach. Journal of Pediatric Surgery. 2003;38:459–64.CrossRefGoogle Scholar
  23. Schuster SR. A new method for the staged repair of large omphaloceles. Surgery, Gynecology and Obstetrics. 1967;125:837–50.PubMedGoogle Scholar
  24. Schwartz MZ, Tyson KR, Milliorn K, et al. Staged reduction using a Silastic sac is the treatment of choice for large congenital abdominal wall defects. Journal of Pediatric Surgery. 1983;18:713–9.CrossRefGoogle Scholar
  25. Snyder CL, Miller KA, Sharp RJ, et al. Management of intestinal atresia in patients with gastroschisis. J Pediatr Surg. 2001;36:1542–5.CrossRefGoogle Scholar
  26. Snyder CW, Biggio JR, Brinson P, et al. Effects of multidisciplinary prenatal care and delivery mode on gastroschisis outcomes. J Pediatr Surg. 2011;46:86–9.CrossRefGoogle Scholar
  27. Tsai J, Blinman TA, Collins JL, et al. The contribution of hiatal hernia to severe gastroesophageal reflux disease in patients with gastroschisis. J Pediatr Surg. 2014;49:395–8.CrossRefGoogle Scholar
  28. Youssef F, Laberge JM, Baird RJ, et al. The correlation between the time spent in utero and the severity of bowel matting in newborns with gastroschisis. J Pediatr Surg. 2015;  https://doi.org/10.1016/j.jpedsurg.2015.02.030.CrossRefGoogle Scholar
  29. Youssef F, Laberge JM, Puligandla P, Emil S, Canadian Pediatric Surgery Network (CAPSNet). Determinants of outcomes in patients with simple gastroschisis. J Pediatr Surg. 2017.; pii: S0022–3468(17)30051–9Google Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2020

Authors and Affiliations

  1. 1.Drexel University College of Medicine, St. Christopher’s Hospital for ChildrenPhiladelphiaUSA
  2. 2.Rutgers/Robert Wood Johnson Medical School, Bristol–Myers Squibb Children’s HospitalNew BrunswickUSA

Personalised recommendations