Question 1

are there  any long term effects of gastroschisis after repair?

Accepted Answer

Sometimes.: If there has been significant bowel necrosis and/or removal, then short bowel syndrome and malabsorption can plague the child and later adult. As a consequence of this type of complication, poor growth and short stature may be more common.

Question 2

how common is  gastroschisis?

Accepted Answer

Incidence is rising: 20 years ago it would have been reported that about 1/10, 000 babies had gastroschisis.  Now that risk may be as high as 3-4 in 10, 000 babies in some places.  We do not know what is causing the risk of gastroschisis to rise.

Question 3

does a silo treat gastroschisis?

Accepted Answer

Connfusing question: Surgeons will often create a "silo" from 2 pieces of sterile fibrous material that are stitched on 3 sides. This acts as a  temporary housing for the abdominal contents that will not fit in the small abdominal space.It sits on top of the abdomen, and with time the silo is repeatedly stitched across until the contents are pushed back into an enlarging abdominal cavity

Question 4

gastroschisis may be detected by 18 weeks?

Accepted Answer

Sure - even by 14 wk: Experienced centers and physicians/sonographers can detect fetal gastroschisis by 13-14 weeks. This is typically a fetal anomaly for teenage first-time mothers and may have to do with environmental toxic exposures (organophosphates from fruit/vegetable spraying, cocaine, amphetamines, adderall, (dextroamphetamine and racemic amphetamine) nsaids etc).

Question 5

is  a gastroschisis or omphalocele the same?

Accepted Answer

No: Omphalocele is an abdominal wall defect through the umbilical ring.  Gastroschisis is an abdominal wall defect that usually occur to the right of the umbilical cord/umbilical ring.  Omphalocele usually has an amniotic sac, gastroschisis does not.  Omphalocele has a higher association with other congenital anomalies compared to gastroschisis.

Question 6

which is worse: gastroschisis or an omphalocele?

Accepted Answer

Comparison: Omphalocele is usually associated with other congenital problems. like heart or genetics defects which affect long term outcome. 
Gastroschisis is not associated with other problems, but it could be challenging for surgical repair and gut function afterwards

Question 7

which is worse: an omphalocele or gastroschisis?

Accepted Answer

Gastroschesis: These tend to be much more difficult to manage.

Question 8

what is the prognosis of gastroschisis and an omphalocele?

Accepted Answer

Good: gastroschisis without intestinal injury is 100% survivable. Omphalocele on the other hand is associated with major heart and CNS defects that may prove quite significant.

Question 9

what is the difference between gastroschisis and omphalocele?

Accepted Answer

Location: These are both birth defects where the intestine comes out of the abdominal wall through a defect. An omphalocele will be covered by a membrane, and there is a higher risk of other birth defects with this condition.  Here are some links:
http://www.Ncbi.Nlm.Nih.Gov/pubmedhealth/pmh0001987/

http://www.Ncbi.Nlm.Nih.Gov/pubmedhealth/pmh0001989/.

Question 10

what needs to be done once the doctors find gastroschisis before delivery?

Accepted Answer

Monitoring: Fetal ultrasounds are performed every 2-4 weeks to watch for problems. During the last 2 months or so tests of fetal well-being are added (nonstress or biophysical profile testing)  steroids may be given to mature the baby's lungs if delivery before 34 weeks is anticipated. Delivery should occur at a tertiary center capable of managing the surgery and any other problems the baby may experience.

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Doctor answers about:

Gastroschisis repair

A member asked:

Are there any long term effects of gastroschisis after repair?

A member asked:

How common is gastroschisis?

A member asked:

Does a silo treat gastroschisis?

A member asked:

Gastroschisis may be detected by 18 weeks?

A member asked:

Is a gastroschisis or omphalocele the same?

A member asked:

Which is worse: gastroschisis or an omphalocele?

A member asked:

Which is worse: an omphalocele or gastroschisis?

A member asked:

What is the prognosis of gastroschisis and an omphalocele?

A member asked:

What is the difference between gastroschisis and omphalocele?

A member asked:

What needs to be done once the doctors find gastroschisis before delivery?

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