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Total 1864 results found since Jan 2013.

Staged management of pseudoexstrophy with omphalocele and wide pubic diastasis
Publication date: August 2014 Source:Journal of Pediatric Surgery Case Reports, Volume 2, Issue 8 Author(s): Kohei Otake , Keiichi Uchida , Mikihiro Inoue , Yuhki Koike , Kohei Matsushita , Satoshi Oki , Noriki Miyamoto , Akihiro Sudo , Masato Kusunoki Pseudoexstrophy is a rare, mild exstrophy variant characterized by the major musculoskeletal defects of the exstrophy complex without associated defects of the urinary system. The authors present a case of pseudoexstrophy with a small omphalocele and wide pubic diastasis (greater than 4 cm). Only three cases of pseudoexstrophy with omphalocele have previously been describ...
Source: Journal of Pediatric Surgery Case Reports - October 12, 2014 Category: Surgery Source Type: research

A neonate with gastroschisis and hydrocephalus complicated by central diabetes insipidus
We report a case of term neonate with gastroschisis and congenital hydrocephalus who developed central diabetes insipidus. This case highlights the complexity of managing neonates with central diabetes, which often requires multiple pharmacologic agents such as vasopressin and thiazide diuretics. Although rare, assessing patients with gastroschisis for other anomalies is important since conditions like hydrocephalus may complicate medical management.
Source: Journal of Pediatric Surgery Case Reports - October 12, 2014 Category: Surgery Source Type: research

Timing of Elective Delivery in Gastroschisis: A Decision and Cost Effectiveness Analysis
ConclusionsIn pregnancies complicated by gastroschisis, the most cost‐effective timing of delivery is 38 weeks. Few additional cases of RDS are caused for every 1 stillbirth or death within 1 year prevented with delivery at 37–38 weeks.
Source: Ultrasound in Obstetrics and Gynecology - November 6, 2014 Category: Radiology Authors: Lorie M. Harper, Katherine R. Goetzinger, Joseph R. Biggio, George A. Macones Tags: Original Article Source Type: research

Gastroschisis: Antenatal Sonographic Predictors of Adverse Neonatal Outcome.
Conclusions. Gastroschisis is associated with several comorbidities, yet there is much discrepancy in the literature regarding which specific ultrasound markers best predict adverse neonatal outcomes. Future research should include prospective trials with larger sample sizes and use well-defined and consistent definitions of the adverse outcomes investigated with consideration given to IABD. PMID: 25587450 [PubMed - as supplied by publisher]
Source: Journal of Pregnancy - January 15, 2015 Category: OBGYN Tags: J Pregnancy Source Type: research

Standardised parenteral nutrition provision in neonates managed postoperatively for gastroschisis
Conclusion Standardised parenteral nutrition provision in neonates managed postoperatively for gastroschisis is a promising safe option and does not seem to adversely affect monitored parameters any more than individualised TPN.
Source: Archives of Disease in Childhood - May 18, 2015 Category: Pediatrics Authors: Windscheif, P.-M., Welsh, R., Lakhoo, K., Rivlin, G., McCormick, K. Tags: Posters Source Type: research

Infant, maternal, and geographic factors influencing gastroschisis related mortality in Zimbabwe
This study describes the burden of gastroschisis at the major pediatric hospital in Zimbabwe with the goal of identifying modifiable factors influencing gastroschisis-related infant mortality.
Source: Surgery - June 10, 2015 Category: Surgery Authors: Jordan. C. Apfeld, Sherry M. Wren, Nyasha Macheka, Bothwell A. Mbuwayesango, Matias Bruzoni, Karl. G. Sylvester, Zachary. J. Kastenberg Tags: Original Communication Source Type: research

Timing of elective delivery in gastroschisis: a decision and cost‐effectiveness analysis
ConclusionsFor pregnancies complicated by gastroschisis, the most cost‐effective timing of delivery is at 38 weeks. Few additional cases of RDS are caused for every one stillbirth or death within 1 year that was prevented with delivery at 37–38 weeks compared with at 39 weeks. Copyright © 2014 ISUOG. Published by John Wiley & Sons Ltd.
Source: Ultrasound in Obstetrics and Gynecology - June 24, 2015 Category: Radiology Authors: L. M. Harper, K. R. Goetzinger, J. R. Biggio, G. A. Macones Tags: Original Paper Source Type: research

Prenatal Risk Factors and Outcomes in Gastroschisis: A Meta-Analysis
CONCLUSIONS: IABD, polyhydramnios, and GD can be used to an extent to identify a subgroup of neonates with a prenatal diagnosis of gastroschisis at higher risk to develop postnatal complications. Data are still inconclusive on the predictive ability of several signs combined, and large prospective studies are needed to improve the quality of prenatal counseling and the neonatal care for this condition.
Source: PEDIATRICS - July 1, 2015 Category: Pediatrics Authors: D'Antonio, F., Virgone, C., Rizzo, G., Khalil, A., Baud, D., Cohen-Overbeek, T. E., Kuleva, M., Salomon, L. J., Flacco, M. E., Manzoli, L., Giuliani, S. Tags: Fetus/Newborn Infant, Birth Defects, Gastroenterology Review Article Source Type: research

First Trimester Diagnosis of Omphalocele: Differentiating Between Omphalocele and Normal Physiologic Gut Herniation
Normal physiologic herniation of the fetal bowel is often seen on first trimester sonogram. An omphalocele is an abdominal wall defect that occurs as a result of herniation into the umbilical cord and is often associated with chromosomal anomalies. This case report presents an omphalocele seen in the first trimester and discusses how to differentiate this finding from normal physiologic bowel herniation.
Source: Journal of Diagnostic Medical Sonography - July 13, 2015 Category: Radiology Authors: Howell, H., Fox, T. B. Tags: Case Studies Source Type: research

Outcomes in infants with prenatally diagnosed gastroschisis and planned preterm delivery
Conclusion Planned caesarian section at 35 completed gestational weeks for fetuses with prenatally diagnosed gastroschisis is safe. We observe the best outcome for patients born between 35 and 36.9 gw.
Source: Pediatric Surgery International - September 23, 2015 Category: Surgery Source Type: research

Epigastric heteropagus associated with an omphalocele and double outlet right ventricle
We report a case of epigastric heteropagus associated with an omphalocele and double outlet right ventricle. The cystic region of the epigastrium was detected in our patient by an ultrasound scan at 28 weeks' gestation. He was born at 37 weeks' gestation by scheduled caesarean section. A parasite with an incomplete head and lower limb was attached to the epigastrium of the autosite. Surgical separation of the parasite and silo placement for an omphalocele was successfully performed on the 4th day of life. He underwent secondary surgical closure of the omphalocele on the 10th day. For treatment of the cardiac anomaly, he un...
Source: Journal of Pediatric Surgery Case Reports - September 25, 2015 Category: Surgery Source Type: research

Outcomes in infants with prenatally diagnosed gastroschisis and planned preterm delivery
Conclusion Planned caesarian section at 35 completed gestational weeks for fetuses with prenatally diagnosed gastroschisis is safe. We observe the best outcome for patients born between 35 and 36.9 gw.
Source: Pediatric Surgery International - October 23, 2015 Category: Surgery Source Type: research

Negative pressure wound therapy for initial management of giant omphalocele
Conclusion Negative pressure wound therapy is a safe and effective treatment for giant omphalocele that allows feeding, has a low complication rate and is completed in two months.
Source: The American Journal of Surgery - December 25, 2015 Category: Surgery Source Type: research

Cosmetic Outcomes of Sutureless Closure in Gastroschisis
Conclusion Sutureless closure of uncomplicated gastroschisis is a safe technique that reduces need of intubation and provides excellent cosmetic results.[...]Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text
Source: European Journal of Pediatric Surgery - January 8, 2016 Category: Surgery Authors: Zajac, AndrzejBogusz, BartoszSoltysiak, PiotrTomasik, PrzemyslawWolnicki, MichalWedrychowicz, AndrzejWojciechowski, PiotrGorecki, Wojciech Tags: Original Article Source Type: research

Cognitive assessment in children who presented gastroschisis: a case-control study.
CONCLUSIONS: Gastroschisis will not affect later neurodevelopment, at least in this group which presented only this abnormality and deficits that can be explained by their perinatal circumstances. Nevertheless, this prognosis cannot be generalised to other cases with a more severe clinical picture, a longer stay in hospital and associated comorbidity. In any case, it is important to inform the parents as of the prenatal stage about the expected consequences of this pathology. PMID: 27064912 [PubMed - in process]
Source: Revista de Neurologia - April 13, 2016 Category: Neurology Authors: Villasenor-Cabrera T, Pacheco-Sanchez I, Rizo-Curiel G, Nuno-Romero R, Garcia-Estrada J Tags: Rev Neurol Source Type: research