Gastroschisis: A Review of Management and Outcomes

摘要: We performed an evidence-based review of the obstetrical management gastroschisis. Gastroschisis is abdominal wall defect, which has increased in frequency recent decades. There variation prevalence by ethnicity and several known maternal risk factors. Herniated intestinal loops lacking a covering membrane can be identified with prenatal ultrasonography, serum α-fetoprotein level commonly elevated. Because for growth restriction, amniotic fluid abnormalities, fetal demise, antenatal testing generally recommended. While many studies have aimed to identify predictors neonatal outcome, accurate prognosis remains challenging. Delivery 37 weeks appears reasonable, cesarean delivery reserved obstetric indications. Postnatal surgical includes primary closure, staged reduction silo, or sutureless umbilical closure. Overall good low long-term morbidity majority cases, but approximately 15% cases are very complex complicated hospital course, extensive loss, early childhood death.