Gastroschisis

Jump to: navigation, search
Gastroschisis
ICD-10 Q79.3
OMIM 230750
DiseasesDB 31155
MedlinePlus 000992
eMedicine ped/1642  radio/303

WikiDoc Resources for

Gastroschisis

Articles

Most recent articles on Gastroschisis

Most cited articles on Gastroschisis

Review articles on Gastroschisis

Articles on Gastroschisis in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Gastroschisis

Images of Gastroschisis

Photos of Gastroschisis

Podcasts & MP3s on Gastroschisis

Videos on Gastroschisis

Evidence Based Medicine

Cochrane Collaboration on Gastroschisis

Bandolier on Gastroschisis

TRIP on Gastroschisis

Clinical Trials

Ongoing Trials on Gastroschisis at Clinical Trials.gov

Trial results on Gastroschisis

Clinical Trials on Gastroschisis at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Gastroschisis

NICE Guidance on Gastroschisis

NHS PRODIGY Guidance

FDA on Gastroschisis

CDC on Gastroschisis

Books

Books on Gastroschisis

News

Gastroschisis in the news

Be alerted to news on Gastroschisis

News trends on Gastroschisis

Commentary

Blogs on Gastroschisis

Definitions

Definitions of Gastroschisis

Patient Resources / Community

Patient resources on Gastroschisis

Discussion groups on Gastroschisis

Patient Handouts on Gastroschisis

Directions to Hospitals Treating Gastroschisis

Risk calculators and risk factors for Gastroschisis

Healthcare Provider Resources

Symptoms of Gastroschisis

Causes & Risk Factors for Gastroschisis

Diagnostic studies for Gastroschisis

Treatment of Gastroschisis

Continuing Medical Education (CME)

CME Programs on Gastroschisis

International

Gastroschisis en Espanol

Gastroschisis en Francais

Business

Gastroschisis in the Marketplace

Patents on Gastroschisis

Experimental / Informatics

List of terms related to Gastroschisis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]


Gastroschisis is a type of abdominal wall defect in which the intestines and sometimes other organs develop outside the fetal abdomen through an opening in the abdominal wall. This defect is the result of obstruction of the omphalomesenteric vessels during development. It is often detected through AFP screening or a detailed fetal ultrasound. Gastroschisis is also called paraomphalocele, laparoschisis, or abdominoschisis.

Omphalocele is a similar birth defect, but it involves the umbilical cord, and the organs are enclosed in a membranous sac instead of directly in the amniotic fluid.

Genetic counseling and further genetic testing, such as amniocentesis, may be offered during the pregnancy, as some abdominal wall defects are associated with genetic disorders. If there are no additional genetic problems or birth defects, surgery soon after birth can often repair the opening.

Embryology

During the fourth week of development, the lateral body folds move ventrally and fuse in the midline to form the anterior body wall. Incomplete fusion results in a defect that allows abdominal viscera to protrude through the abdominal wall. The bowel typically herniates through the rectus muscle, lying to the right of the umbilicus.

Mortality and Morbidity

Current advances in surgical techniques and intensive care management for neonates have increased the survival rate to 90%, in adequate settings. The possibility of prenatal diagnosis either through echosonogram or any other method available allows the mother to be referred to an adequate center where a caesarean section can be made at term (or as close to full term as possible) and allow the immediate surgery to be performed in the newborn. The morbidity is closely related to the presence of other malformations and complications of the wound or the intestine. Patients frequently require more than one surgery.

Statistics

The malformation is slightly more frequent in males than females. The frequency of gastroschisis is associated with young maternal age, and low number of gestations.

Causes and Risk Factors

High risk pregnancies such as the ones complicated with infections, teen aged mothers, smoking, drug abuse, or anything that contributes to low birth weight can increase the incidence of gastroschisis, which is more frequent in small for gestational age newborn. Either if the intrauterine growth retardation can facilitate the apparition of gastroschisis or if the abdominal wall defect impairs fetal growth is not clear yet.

External links

de:Gastroschisis

Navigation WikiDoc | WikiPatient | Up To Date Pages | Recently Edited Pages | Recently Added Pictures

Table of Contents In Alphabetical Order | By Individual Diseases | Signs and Symptoms | Physical Examination | Lab Tests | Drugs

Editor Tools Become an Editor | Editors Help Menu | Create a Page | Edit a Page | Upload a Picture or File | Printable version | Permanent link | Maintain Pages | What Pages Link Here
There is no pharmaceutical or device industry support for this site and we need your viewer supported Donations | Editorial Board | Governance | Licensing | Disclaimers | Avoid Plagiarism | Policies
Linked-in.jpg