Babies with gastroschisis usually do not have other related birth defects. Symptoms A gastroschisis can be seen when the baby is born. There is a hole in the abdominal wall. The small intestine is often outside the abdomen near the umbilical cord.
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Babies with gastroschisis usually do not have other related birth defects. Symptoms A gastroschisis can be seen when the baby is born. There is a hole in the abdominal wall. The small intestine is often outside the abdomen near the umbilical cord. Other organs that may also be seen are the large intestine, stomach, or gallbladder. If the intestine is damaged, the baby will have problems absorbing food.
Exams and Tests Prenatal ultrasounds often identify infants with gastroschisis before birth. While pregnant, the mother may have shown signs of too much amniotic fluid polyhydramnios. A prenatal ultrasound often identifies the gastroschisis. Treatment If gastroschisis is found before birth, the mother will need special monitoring to make sure her unborn baby remains healthy.
Treatment for gastroschisis is surgery to repair the defect. The surgeon will put the bowel back into the abdomen and close the defect, if possible. If the abdominal cavity is too small, a mesh sack is stitched around the borders of the defect and the edges of the defect are pulled up.
The sack is called a silo. Other treatments for the baby include nutrients by IV and antibiotics to prevent infection. Outlook Prognosis The baby has a good chance of recovering if there are no other problems and if the abdominal cavity is large enough. A very small abdominal cavity may result in complications that require more surgeries.
Plans should be made for careful delivery and immediate management of the problem after birth. The baby should be delivered in a medical center that is skilled at repairing abdominal wall defects. Babies are likely to do better if they do not need to be taken to another center for further treatment. With these babies, their intestines may not work normally even after the organs are put back inside the abdominal cavity.
The increased pressure from the misplaced abdominal contents can decrease blood flow to the intestines and kidneys.
It can also make it difficult for the baby to expand the lungs, leading to breathing problems. Another complication is bowel death necrosis. This occurs when intestinal tissue dies due to low blood flow or infection. This condition is apparent at birth and will be detected in the hospital at delivery if it has not already been seen on routine fetal ultrasound exams during pregnancy. If you have given birth at home and your baby appears to have this defect, call the local emergency number such as right away.
When to Contact a Medical Professional This problem is diagnosed and repaired in the hospital at birth. After returning home, call your health care provider if your baby develops any of these symptoms: Decreased bowel movements.
Baldemira Hermenegildo Escobar. Gladis Gutierrez Alcantara. Gloria Danis Rubio Silva. Luisa Carlos Cotrina.
Facts about Gastroschisis
About sixty percent of infants with gastroschisis are born prematurely. In rare circumstances, the liver and stomach may also come through the abdominal wall. There may be genetic causes in some cases, and there may be environmental factors to which the mother is exposed during pregnancy. The forces responsible for the movement of the lateral body wall folds are poorly understood, and a better understanding of these forces would help to explain why gastroschisis occurs mostly to the right of the umbilicus, while other ventral body wall defects occur in the midline. The second hypothesis does not explain the low percentage of associated abnormality compared with omphalocele. The third hypothesis was criticized due to no vascular supplement of anterior abdominal wall by umbilical vein.