Analysis on the Treatment of 15 Cases with Congenital Gastroschisis

Abstract

Abstract:

Objective:To investigate the prenatal diagnosis, the effect of one-stage surgery in newborns with congenital gastroschisis
and the change of the abdominal pressure. Methods:The clinical data of 15cases in the Children's Hospital from January 2014to
December 2018, including prenatal B-ultrasound, surgical treatment and prognosis, were retrospectively analyzed. Results:Abdominal
wall abnormalities were found in prenatal B- ultrasound as early as 10gestational weeks of gestation and diagnosed at 18- 24
gestational weeks. Among the 15newborns, one patient with complex malformation gave up treatment and the rest patients all received
one-stage surgery. The maximum postoperative abdominal pressure was not higher than 15mmHg and decreased to normal 3 days after
the surgery. Among all these 14patients, one died of pneumonia and vomiting 2 months after the surgery, and all the others had
basically normal growth and development. Conclusion:Congenital gastroschisis is a severe congenital malformation of the newborn,
which can be detected by prenatal B-ultrasound in early stages. Abdominal pressure could decrease to normal range after one-stage
surgery. Reasonable postoperative care and nutrition support can achieve good theapeutic effects.

Key words: gastroschisis, prenatal diagnosis, abdominal compartment syndrome, surgery

CLC Number:

R726

WANG Feng, HUANG Shou-Jiang, QIN Qi, LV Cheng-Jie, CHEN Dui- , MA Dong- , DIAO Xiao-Xia, DOU Jin-Fa. Analysis on the Treatment of 15 Cases with Congenital Gastroschisis[J]. , 2019, 4(8): 1-5.

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