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.
KeywordsGastroschisis Abdominal wall defects Intestinal atresias Silo Prenatal diagnosis
- 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
- Holland A, Walker K, Badawi N. Gastroschisis: an update. PediatrSurgInt. 2010;26:871–8.Google Scholar
- 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
- 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