ReviewSeminars in pediatric surgery2018
Care of infants with gastroschisis in low-resource settings.
Review in Seminars in pediatric surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
18 citing papers in PubMed.
- Gastroschisis in the Tropics: The First Documented Successful Repair in Vanuatu.Journal of paediatrics and child health · 2026Article
- Temporal and spatial trends in isolated gastroschisis: a population-based study in a middle-income setting.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2026Article
- Feasibility of neonatal intravenous nutrition for the management of gastroschisis in sub-Saharan Africa.World journal of pediatric surgery · 2026Article
- Improved mortality in gastroschisis patients after implementation of a standardized management bundle in central Malawi: A single-center follow-up at four years.Journal of pediatric surgery · 2026Article
- A Pilot Study to Advance Task-Sharing of Gastroschisis Management in Uganda.Annals of global health · 2026Article
- Global Initiative for Children's Surgery (GICS): a decade in review.World journal of pediatric surgery · 2025Review
- Gastrointestinal quality of life in children born with gastroschisis.Pediatric surgery international · 2024Article
- Improving care and survival of newborns with surgical conditions in Tanzania (TINY Tanzania): a focus on gastroschisis.Pediatric surgery international · 2024Article
- Gastroschisis: embriology, pathogenesis, risk factors, prognosis, and ultrasonographic markers for adverse neonatal outcomes.Journal of ultrasound · 2024Review
- Challenges and lessons learnt in the management of an HIV-exposed neonate with gastroschisis in a resource-limited setting: case report.Annals of medicine and surgery (2012) · 2024Article
- Improved Mortality of Patients with Gastroschisis: A Historical Literature Review of Advances in Surgery and Critical Care from 1960-2020.Children (Basel, Switzerland) · 2022Review
- Gastroschisis: A Successful, Prospectively Evaluated Treatment Model in a Middle-Income Country.World journal of surgery · 2022Article
- Paediatric surgical outcomes in sub-Saharan Africa: a multicentre, international, prospective cohort study.BMJ global health · 2021Article
- A retrospective review of gastroschisis epidemiology and referral patterns in northern Ghana.Pediatric surgery international · 2021Article
- Challenges and Outcome of Management of Gastroschisis at a Tertiary Institution in North-Eastern Nigeria.Frontiers in surgery · 2020Article
- Ethics in Global Pediatric Surgery: Existing Dilemmas and Emerging Challenges.World journal of surgery · 2019Article
- Influence of birthplace on gastroschisis outcomes in a state in the southeastern region of Brazil.Jornal de pediatriaArticle
- Factors Affecting Survival of Newborns with Gastroschisis from a Tertiary Care Children's Hospital in India.Journal of Indian Association of Pediatric SurgeonsArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
There is great global disparity in the outcome of infants born with gastroschisis. Mortality approaches 100% in many low income countries. Barriers to better outcomes include lack of antenatal diagnosis, deficient pre-hospital care, ineffective neonatal resuscitation and venous access, limited intensive care facilities, poor access to the operating theatre and safe neonatal anesthesia, and lack of neonatal parenteral nutrition. However, lessons can be learned from the evolution in management of gastroschisis in high-income countries, generic efforts to improve neonatal survival in low- and middle-income countries as well as specific gastroschisis management initiatives in low-resource settings. Micro and meso-level interventions include educational outreach programs, and pre and in hospital management protocols that focus on resuscitation and include the delay or avoidance of early neonatal anesthesia by using a preformed silo or equivalent. Furthermore, multidisciplinary team training, nurse empowerment, and the intentional involvement of mothers in monitoring and care provision may contribute to improving survival. Macro level interventions include the incorporation of ultrasound into World Health Organisation antenatal care guidelines to improve antenatal detection and the establishment of the infrastructure to enable parenteral nutrition provision for neonates in low- and middle-income countries. On a global level, gastroschisis has been suggested as a bellwether condition for evaluating access to and outcomes of neonatal surgical care provision.
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