Evidence map›Paper›PMID 26399421›Full record

ArticlePediatric surgery international2015

Outcomes in infants with prenatally diagnosed gastroschisis and planned preterm delivery.

Carmen Mesas Burgos, Anna Svenningsson, Jenny Hammarqvist Vejde, Tina Granholm, Peter Conner

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Article in Pediatric surgery international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Carmen Mesas BurgosDepartment for Pediatric Surgery, Astrid Lindgren's Children's Hospital, Stockholm, Sweden. carmen.mesas.burgos@ki.se.
Anna SvenningssonDepartment for Pediatric Surgery, Astrid Lindgren's Children's Hospital, Stockholm, Sweden.
Jenny Hammarqvist VejdeCenter for Fetal Medicine, Karolinska University Hospital, Stockholm, Sweden.
Tina GranholmDepartment for Pediatric Surgery, Astrid Lindgren's Children's Hospital, Stockholm, Sweden.
Peter ConnerCenter for Fetal Medicine, Karolinska University Hospital, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe timing and mode of delivery of pregnancies with prenatally diagnosed gastroschisis remains controversial.

aimTo evaluate the outcome of patients with gastroschisis managed during two time periods: 2006-2009 and 2010-2014, with planned elective cesarean delivery at 37 versus 35 gestational weeks (gw). A secondary aim was to analyze the outcome in relation to the gestational age at birth. MATERIAL AND

methodsRetrospective review of all cases with gastroschisis managed at our institution between 2006 and 2014.

resultsFifty-two patients were identified, 24 during the initial period, and 28 during the second. There were a significantly higher number of emergency cesarean deliveries in the first period. There were no differences between groups with regard to the use of preformed silo, need of parenteral nutrition or length of hospital stay. When analyzing the outcome in relation to the gw the patients actually were born, we observed that patients delivered between 35 and 36.9 gw were primary closed in 88.5% of cases, with shorter time on mechanical ventilation, parenteral nutrition and hospital stay.

conclusionPlanned 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.

Indexed as

AdultCesarean SectionDelivery, ObstetricFemaleFollow-Up StudiesGastroschisisHumansInfant, NewbornInfant, PrematureLength of StayMalePostoperative ComplicationsPregnancyPrenatal DiagnosisRetrospective StudiesYoung AdultAbdominal wall defectsCaesarean sectionColon atresiaGastroschisisIntestinal failurePreterm deliveryShort bowel syndromeSmall bowel atresia

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.