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Gastroschisis and the risk of short bowel syndrome: outcomes and counselling.
Neonatology. 2014; 105(1):5-8.N

Abstract

BACKGROUND

Gastroschisis can be associated with short bowel syndrome (SBS). We present 4 cases with significant bowel shortening with very different ante- and postnatal presentations.

CASES

Three of the cases demonstrated 'vanishing' gastroschisis with progressively worsening antenatal intra-abdominal bowel dilatation with no defect present at birth. The fourth case followed an uneventful course antenatally but developed SBS considered secondary to gastroschisis-related atresia and necrosis. All 4 cases were classified as having SBS and were enrolled within the paediatric Intestinal Rehabilitation Programme. This involves autologous gastrointestinal reconstruction following a period of bowel expansion with concomitant parenteral and enteral nutrition.

DISCUSSION

These cases demonstrate that the serious complication of significant bowel loss cannot always be anticipated. Early multidisciplinary discussion with the parents enables a shared understanding of potential outcomes. It can aid the recognition of 'vanishing' gastroschisis enabling expedient investigations and early intervention, minimising morbidity and maximising bowel length.

Authors+Show Affiliations

Royal Manchester Children's Hospital, Manchester, UK.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

24193105

Citation

Wood, Sarah J., et al. "Gastroschisis and the Risk of Short Bowel Syndrome: Outcomes and Counselling." Neonatology, vol. 105, no. 1, 2014, pp. 5-8.
Wood SJ, Samangaya RA, Gillham JC, et al. Gastroschisis and the risk of short bowel syndrome: outcomes and counselling. Neonatology. 2014;105(1):5-8.
Wood, S. J., Samangaya, R. A., Gillham, J. C., & Morabito, A. (2014). Gastroschisis and the risk of short bowel syndrome: outcomes and counselling. Neonatology, 105(1), 5-8. https://doi.org/10.1159/000351038
Wood SJ, et al. Gastroschisis and the Risk of Short Bowel Syndrome: Outcomes and Counselling. Neonatology. 2014;105(1):5-8. PubMed PMID: 24193105.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gastroschisis and the risk of short bowel syndrome: outcomes and counselling. AU - Wood,Sarah J, AU - Samangaya,Rebekah A, AU - Gillham,Joanna C, AU - Morabito,Antonino, Y1 - 2013/10/31/ PY - 2013/01/10/received PY - 2013/03/21/accepted PY - 2013/11/7/entrez PY - 2013/11/7/pubmed PY - 2014/10/1/medline SP - 5 EP - 8 JF - Neonatology JO - Neonatology VL - 105 IS - 1 N2 - BACKGROUND: Gastroschisis can be associated with short bowel syndrome (SBS). We present 4 cases with significant bowel shortening with very different ante- and postnatal presentations. CASES: Three of the cases demonstrated 'vanishing' gastroschisis with progressively worsening antenatal intra-abdominal bowel dilatation with no defect present at birth. The fourth case followed an uneventful course antenatally but developed SBS considered secondary to gastroschisis-related atresia and necrosis. All 4 cases were classified as having SBS and were enrolled within the paediatric Intestinal Rehabilitation Programme. This involves autologous gastrointestinal reconstruction following a period of bowel expansion with concomitant parenteral and enteral nutrition. DISCUSSION: These cases demonstrate that the serious complication of significant bowel loss cannot always be anticipated. Early multidisciplinary discussion with the parents enables a shared understanding of potential outcomes. It can aid the recognition of 'vanishing' gastroschisis enabling expedient investigations and early intervention, minimising morbidity and maximising bowel length. SN - 1661-7819 UR - https://www.unboundmedicine.com/medline/citation/24193105/Gastroschisis_and_the_risk_of_short_bowel_syndrome:_outcomes_and_counselling_ L2 - https://www.karger.com?DOI=10.1159/000351038 DB - PRIME DP - Unbound Medicine ER -