Predictive factors at birth of the severity of gastroschisis.

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Serval ID
serval:BIB_51735B2164C1
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Predictive factors at birth of the severity of gastroschisis.
Journal
World journal of gastrointestinal pathophysiology
Author(s)
de Buys Roessingh A.S., Damphousse A., Ballabeni P., Dubois J., Bouchard S.
ISSN
2150-5330 (Print)
ISSN-L
2150-5330
Publication state
Published
Issued date
15/11/2015
Peer-reviewed
Oui
Volume
6
Number
4
Pages
228-234
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
To establish children born with gastroschisis (GS).
We performed a retrospective study covering the period from January 2000 to December 2007. The following variables were analyzed for each child: Weight, sex, apgar, perforations, atresia, volvulus, bowel lenght, subjective description of perivisceritis, duration of parenteral nutrition, first nasogastric milk feeding, total milk feeding, necrotizing enterocolitis, average period of hospitalization and mortality. For statistical analysis, descriptive data are reported as mean ± standard deviation and median (range). The non parametric test of Mann-Whitney was used. The threshold for statistical significance was P < 0.05 (Two-Tailed).
Sixty-eight cases of GS were studied. We found nine cases of perforations, eight of volvulus, 12 of atresia and 49 children with subjective description of perivisceritis (72%). The mortality rate was 12% (eight deaths). Average duration of total parenteral nutrition was 56.7 d (8-950; median: 22), with five cases of necrotizing enterocolitis. Average length of hospitalization for 60 of our patients was 54.7 d (2-370; median: 25.5). The presence of intestinal atresia was the only factor correlated with prolonged parenteral nutrition, delayed total oral milk feeding and longer hospitalization.
In our study, intestinal atresia was our predictive factor of the severity of GS.

Keywords
Bowel atresia, Gastroschisis, Perivisceritis, Volvulus
Pubmed
Open Access
Yes
Create date
08/02/2018 14:32
Last modification date
20/08/2019 14:07
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