No existe claridad sobre la causa exacta de la gastrosquisis, ya que es una en fermedad multifactorial. Su diagnóstico puede realizarse desde la etapa prenatal . b Unidad de Ecografía y Diagnóstico Prenatal, Servicio de Ginecología y La gastrosquisis es un defecto de la pared abdominal, a nivel paraumbilical. Publisher: El tratamiento óptimo de la gastrosquisis es controvertido. En 74% se realizó el diagnóstico prenatal antes de las 20 semanas de.

Author: Samut Vijind
Country: Tanzania
Language: English (Spanish)
Genre: Sex
Published (Last): 1 June 2005
Pages: 15
PDF File Size: 11.98 Mb
ePub File Size: 16.23 Mb
ISBN: 427-8-67243-657-5
Downloads: 90309
Price: Free* [*Free Regsitration Required]
Uploader: Vojind

Revista Romana de Pediatrie. Gastroschisis is an infrequent event of uncertain aetiology. Spanish pdf Article in xml format Article references How to cite this article Automatic translation Send this article by diagnostivo. This study was conducted to analyze the most controversial issues in the monitoring and treatment of this defect, and to compare the results obtained in our center with those reported in the literature.

No existe claridad sobre la causa exacta de la gastrosquisis, ya que es una en fermedad multifactorial. Gastroschisis is an abdominal wall defect, usually located to the right of the umbilical cord insertion, leading to freely floating bowel loops outside the fetal abdomen. The Pediatric Surgery Service decided to gastrosqjisis plications of the viaflex container.

Diagnosticul ecografic prenatal al gastroschizisului. Own elaboration based on the data obtained in the prenatall Based on clinical findings, gastroschisis, respiratory distress syndrome and early neonatal sepsis were diagnosed.

Gashrosquisis relaxation and morphine were discontinued and fentanyl was administered only at analgesic doses. During surgery, severe gastroschisis was found with exposure of stomach, small and large intestines, intestinal malrotation with thickened meso, and leaky and thickened intestine due to intrauterine exposure.

Maternal residential atrazine exposure and gastroschisis by maternal age.


Algunos autores sugieren mejores resultados del cierre diferido CD frente al cierre primario CP. The Pediatric Surgery Service proposed closing the abdominal wall gradually and adding metronidazole to antibiotic management. This paper attempts to describe the disease and highlight the importance of correct treatment at the primary preenatal level.

Once the prenatal diagnosis is made, a multidisciplinary approach obstetrician, neonatologist, pediatric surgeon and bi-monthly sonographic controls are required to monitor markers to predict complications. Clinical risk factors for gastroschisis and omphalocele in humans: The procedure was well tolerated at first, but a deterioration of the diaghostico condition was observed subsequently with hemodynamic instability, which required inotropic support with dopamine and dobutamine; mechanical ventilation with high parameters; sedation with fentanyl and morphine; relaxation with rocuronium, and follow-up with antibiotic therapy with ampicillin-gentamicin and metronidazole.

Mechanical ventilation was continued in a controlled assisted manner with minimal parameters and intra-abdominal pressure between mmHg.

Case reports

Regarding the management of this case, it is worth highlighting the optimal initial treatment, timely referral from the primary care institution, adequate information to relatives and the successful interhospital communication, which demonstrate full support to the beneficence and autonomy principles.

The terms used were gastroschisis, abdominal wall abnormalities, and genetics. Gastroschisis is a congenital defect that, despite its low frequency, requires adequate knowledge not only from specialized personnel, but also from primary care physicians, taking into account that they are obliged to ensure an appropriate and timely referral of the patient to a higher complexity level to avoid complications.

Ophthalmic prophylaxis was performed and then, he was referred to a secondary care institution, where gastric lavage was performed, a polyethylene bag was placed, and antibiotic treatment with ampicillin-gentamicin was initiated.

Pediatric Gadtrosquisis ruled out said infection, so the second surgery was performed 4 days after the last plication Figure 1.

Semin Fetal Neonatal Med. Patients were divided in PC and SS according to abdominal wall closure.


Gastrosquisis, en niños

The first was done 3 days after the first surgery and the second and third were performed at intervals of 24 hours after the first plication. Abdomen in viaflex container Day Three plications of viaflex container Day 14 Total closure of the wall Since day 15 Favorable evolution Day Discharged with interdisciplinary follow-up recommendations Source: Clinical genetics gzstrosquisis a chemical teratogenic disruptive process during the first trimester of pregnancy as probable etiology.

The patient required mechanical ventilation and inotropic support.

Hospital Universitario La Paz. Preterm or term delivery?.

Defectos de cierre de la pared abdominal: gastrosquisis | Progresos de Obstetricia y Ginecología

The first gastroschisis report was published in Differential diagnosis of abdominal wall defects – omphalocele versus gastroschisis. Gastroschisis is a disease that requires adequate knowledge from both specialized and primary care personnel, as it ensures diagnosticoo correct initial management and avoids future complications.

Prenatal detection of this disease is important because it allows timely genetic counseling, since performing a karyotype is not recommended in these patients given the limited association of this defect with other genetic syndromes.

Own elaboration based on 1,3,5,6. S ekabira J, Hadley GP. SRJ is a prestige metric based on the idea that not all citations are the same.

Am J Obstet Gynecol. On physical examination, the patient presented with stable vital signs and normal anthropometric measurements abdominal perimeter was not assessed due to the protrusion of intestinal loops.

Cuestiones de justicia y no maleficencia.