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Doctor insights on: Gastroschisis Repair

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Are there any long term effects of gastroschisis after repair?

Are there  any long term effects of gastroschisis after repair?

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. ...Read more

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What do you suggest if my son was born with gastroschisis and a week after his op to get it repaired.?

What do you suggest if my son was born with gastroschisis and a week after his op to get it repaired.?

OK: Sometimes the abdomen does not have enough room to put the intestines and stretching is necessary. I don't see a problem especially if a Pediatric surgeon is managing the case. it is not uncommon to have to wait a little while to place the intestines back into the abdomen. This is a long term process and the GI tract has to become less swollen before feeding can begin. Patience is needed. ...Read more

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How common is gastroschisis?

How common is  gastroschisis?

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. ...Read more

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Does a silo treat gastroschisis?

Does a silo treat gastroschisis?

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 ...Read more

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Gastroschisis may be detected by 18 weeks?

Gastroschisis may be detected by 18 weeks?

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). ...Read more

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Is a gastroschisis or omphalocele the same?

Is  a gastroschisis or omphalocele the same?

No: Gastroschisis is an abdominal wall defect to the right of the umbilicus. The bowel is exposed to the amniotic fluid and gets chemically irritated. Usually only small and/or large bowel are exposed. Omphalocele is a hernia of the umbilical cord. The defect is usually larger and may have bowel and liver in the sac. There can other defects associated with omphalos. ...Read more

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Which is worse: gastroschisis or an omphalocele?

Which is worse: gastroschisis or an omphalocele?

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 ...Read more

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What is the prognosis of gastroschisis and an omphalocele?

What is the prognosis of gastroschisis and an omphalocele?

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. ...Read more

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What is the difference between gastroschisis and omphalocele?

Defects: Both are abdominal wall defects. Gastroschisis occurs to right of umbilicus and has extruded bowel that in uncovered. Omphalocele is a herniation of abdominal contents in the base of the umbilical cord so the contents are covered. Omphalocele is associated with other congenital defects while gastroschisis is not. ...Read more

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