The clinical outcomes on fetal gastroschisis.

Cha, Kyung Hee; Park, Sun Kyung; Hyun, Min Kyung; Na, Sung Hun; Kim, Eu Gene; Shim, Jae Yoon; Won, Hye Sung; Lee, Pil Ryang; Kim, Ahm

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Obstet Gynecol Sci > Volume 52(10); 2009 > Article

Original Article

Korean Journal of Obstetrics & Gynecology 2009;52(10):994-999.
Published online October 1, 2009.

The clinical outcomes on fetal gastroschisis.

Kyung Hee Cha, Sun Kyung Park, Min Kyung Hyun, Sung Hun Na, Eu Gene Kim, Jae Yoon Shim, Hye Sung Won, Pil Ryang Lee, Ahm Kim

¹Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. jyshim@amc.seoul.kr
²Department of Obstetrics and Gynecology, Kangwon National University College of Medicine, Kangwon, Korea.

Abstract

OBJECTIVE
The aim of this study is to analyze the perinatal courses, fetal treatment and postnatal outcomes of fetal gastroschisis. METHODS: A retrospective review of the medical records of 35 cases with a prenatal diagnosis of gastroschisis was conducted between March 1997 and April 2007. RESULTS: Twenty-eight fetuses were followed up and 17 fetuses of them were born alive. Chromosomal study was performed in 22 fetuses and no abnormality was detected in them. Associated anomalies except for gastrointestinal anomalies were found in 12 (34.2%) cases: amniotic band syndrome (n=8), scoliosis (n=6), cleft lip (n=1), hydrops (n=1), hydrocephalus (n=1), acrania (n=1). In 4 fetuses, amnioinfusion and amnioexchange were performed simultaneously for treatment. Four cases (23.5%) were delivered by cesarean section. All neonates received corrected operation immediately after birth and 8 (47.1%) of them had postoperative complications. Three of them were died and the overall survival rate was 82.4%. The average length of hospital stays for the survivors was 36 days (2~210days). CONCLUSION: Fetal gastroschisis diagnosed prenatally has a good prognosis and high survival rates. The result of this study was not different from that of preexisting studies and will be a useful guide in counseling parents with a prenatal diagnosis of gastroschisis.

Key Words: Gastroschisis, Perinatal care, Fetal therapies, Prognosis

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