Document Detail

Echocardiographic screening in neonates undergoing surgery for selected gastrointestinal malformations.
MedLine Citation:
PMID:  8198415     Owner:  NLM     Status:  MEDLINE    
To compare echocardiography with clinical examination, radiography, and electrocardiography for the detection of congenital heart defects (CHD) a four year prospective study was carried out in 166 neonates with selected congenital gastrointestinal malformations (anorectal anomaly, tracheo-oesophageal fistula, duodenal atresia, exomphalos, and gastroschisis). Routine examination and investigation detected CHD in 16 neonates. Using echocardiography CHD was diagnosed in 38 (23%) neonates of whom five had two gastrointestinal malformations: in 22/57 (39%) with a tracheo-oesophageal fistula, 10/67 (15%) with an anorectal anomaly, 4/20 (20%) with exomphalos, 6/20 (30%) with duodenal atresia, and 1/7 with gastroschisis. A significantly higher incidence of CHD in neonates with gastrointestinal malformations was diagnosed using echocardiography (23%) compared with routine examination and investigation (9%). Early diagnosis of CHD allowed a unified approach to be presented to the family.
R M Tulloh; S P Tansey; K Parashar; J V De Giovanni; J G Wright; E D Silove
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of disease in childhood. Fetal and neonatal edition     Volume:  70     ISSN:  1359-2998     ISO Abbreviation:  Arch. Dis. Child. Fetal Neonatal Ed.     Publication Date:  1994 May 
Date Detail:
Created Date:  1994-06-29     Completed Date:  1994-06-29     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  9501297     Medline TA:  Arch Dis Child Fetal Neonatal Ed     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  F206-8     Citation Subset:  IM    
Department of Cardiology, Children's Hospital, Birmingham.
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MeSH Terms
Abnormalities, Multiple / ultrasonography*
Digestive System Abnormalities*
Down Syndrome / complications
Heart Defects, Congenital / ultrasonography*
Infant, Newborn
Neonatal Screening / methods*
Prospective Studies
Sensitivity and Specificity

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