• Prenatal diagnosis of gastroschisis in fetuses and newborns 

Prenatal diagnosis of gastroschisis in fetuses and newborns 

PERINATOLOGIYA I PEDIATRIYA. 2016.2(66):70-76; doi 10.15574/PP.2016.66.70 

Prenatal diagnosis of gastroschisis in fetuses and newborns 

Slyepov O. K., Gordienko I. Yu., Veselskiy V. L., Tarapurova O. M., Hrebinichenko G. O., Soroka V. P., Ponomarenko O. P., Velychko A. V.

SI «Institute of Pediatrics, Obstetrics and Gynecology NAMS of Ukraine», Kiev

National Academy of Medical Sciences of Ukraine, Kiev, Ukraine 

Objective — to develop and improve the nature and extent of prenatal and early postnatal diagnosis of gastroschisis in fetuses and newborns.

Patients and methods. For the period 2006–2015 yy. in SI «Institute of Pediatrics, Obstetrics and Gynecology NAMS Ukraine» prenatally have been examined 43 fetuses with gastroschisis. During the prenatal fetal examinations with gastroschisis in addition to the ultrasound specialists obligatory was present pediatric surgeon.

Results. At 100% operated newborns with gastroschisis diagnosis was established prenatally. The frequency of early prenatal diagnosis of gastroschisis (up to 22 weeks gestation) — 43.6%, which requires further improvements.

Conclusions. The main criteria for prenatal diagnosis of gastroschisis in the fetus are: the localization and size of the through defect of anterior abdominal wall, character of eventrated organs, their condition and amount; the volume of the abdominal cavity and the degree visceroabdominal imbalances; definition of associated malformations and diseases; the amount of amniotic fluid; cytogenetic examination with the definition of fetal karyotype. The algorithm of postnatal diagnosis of gastroschisis and associated malformations of diseases in newborn includes: ultrasound investigation of the abdomen and extra-abdominal areas; echocardiography and cranial ultrasonography; plain radiography of the chest and abdomen, contrast passage through the gastrointestinal tract, ergography — for suspected intestinal obstruction; neurologist consultation, and if necessary — consultation of other professionals.

Key words: newborns, gastroschisis, prenatal diagnosis, postnatal diagnosis.


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