Korean J Obstet Gynecol.  2009 Oct;52(10):994-999.

The clinical outcomes on fetal gastroschisis

• Cha KH
• Park SK
• Hyun MK
• Na SH
• Kim EG
• Shim JY
• Won HS
• Lee PR
• Kim A

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.

Keyword

Gastroschisis; Perinatal care; Fetal therapies; Prognosis

MeSH Terms

Amniotic Band Syndrome
Cesarean Section
Cleft Lip
Counseling
Edema
Female
Fetal Therapies
Fetus
Gastroschisis
Humans
Hydrocephalus
Infant, Newborn
Length of Stay
Medical Records
Neural Tube Defects
Parents
Parturition
Perinatal Care
Postoperative Complications
Pregnancy
Prenatal Diagnosis
Prognosis
Retrospective Studies
Scoliosis
Survival Rate
Survivors