Document Detail


Gastroschisis: incidence, complications, and clinical management in the neonatal intensive care unit.
MedLine Citation:
PMID:  17301669     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This article presents a case study of a newborn with gastroschisis, followed by a retrospective analysis of gastroschisis cases admitted in a single tertiary neonatal intensive care unit over a 5-year period in terms of maternal age, prenatal diagnosis, type of repair, length of stay, and complications. Gastroschisis is an abdominal wall defect resulting from ischemia to blood vessels that supply the abdominal wall during the first trimester of pregnancy. The injury results in an opening in the abdominal wall that allows the abdominal contents, most often intestines and stomach, to develop outside the abdominal cavity. The incidence of gastroschisis is rising, primarily in young mothers aged 20 years or younger. Environmental factors including medication use and nutrition are proposed mechanisms for this association. Surgical management includes techniques for primary repair in which the intestinal contents are immediately closed inside the abdomen, or staged repair if the abdominal cavity is not able to accommodate the volume of intestine. Exposure of the fetal intestine to amniotic fluid can cause inflammation and damage, and significant gastrointestinal problems occur during the neonatal period after closure of the defect. Complications include prolonged ileus, sepsis, associated intestinal atresias, malabsorption, wound infection, and necrotizing enterocolitis.
Authors:
Carolyn Houska Lund; Kathryn Bauer; Margarita Berrios
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of perinatal & neonatal nursing     Volume:  21     ISSN:  0893-2190     ISO Abbreviation:  J Perinat Neonatal Nurs     Publication Date:    2007 Jan-Mar
Date Detail:
Created Date:  2007-02-15     Completed Date:  2007-05-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8801387     Medline TA:  J Perinat Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  63-8     Citation Subset:  N    
Affiliation:
Intensive Care Nursery, Children's Hospital and Research Center, Division of Neonatology, Oakland, CA 94609, USA. CLund@mail.cho.org
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Birth Weight
Female
Gastroschisis / complications,  diagnosis,  epidemiology*,  therapy*
Gestational Age
Humans
Incidence
Infant, Newborn
Intensive Care, Neonatal / methods*
Length of Stay / statistics & numerical data
Maternal Age
Neonatal Nursing / methods
Perioperative Care / methods,  nursing
Pregnancy
Pregnancy in Adolescence / statistics & numerical data
Prenatal Diagnosis
Retrospective Studies
Risk Factors
Surgical Mesh

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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