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Doctor insights on: What Is Gastroschesis

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What is gastroschesis?

What is gastroschesis?

Gastroschisis: Is a birth defect in which an infant's intestines stick out of the body through a defect on one side of the umbilical cord. ...Read more

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I'm feeling confused ater md visit. What is gastroschesis?

I'm feeling confused ater md visit. What is gastroschesis?

Birth defect?: I thought gastroschesis was a condition whereby a newborn has a defect in his or her abdominal wall causing the intestines to be outside of the body. I could be wrong. ...Read more

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What's omphalocele or gastroschesis?

What's  omphalocele or gastroschesis?

Abdominal wall defects: Omphalocele is an abdominal wall defect through the umbilical ring and cord, usually contained within the amniotic sac. Gastroschisis is an abdominal wall defect usually right of the umbilical ring and cord without any sac. ...Read more

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What is gastroschisis?

What is gastroschisis?

Gastroschisis: Is a birth defect in which an infant's intestines stick out of the body through a defect on one side of the umbilical cord. ...Read more

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What causes gastroschisis?

What causes gastroschisis?

We don't know: We know that gastroschisis is more common in young mothers, and in mothers who smoke cigarettes. We also know that the rate of gastroschisis in babies is rising in many places , possibly related to exposure to chemicals in the environment, but there is a lot we don't know about why it happens. ...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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What causes a child to have gastroschisis?

What causes a child to have  gastroschisis?

Not really known: The cause of gastroschisis is not known, but there are certain statistical associations such as younger maternal age, alcohol consumption or smoking during pregnancy, & certain medications or infections. For more information go to the birth defects homepage of the cdc at: www.Cdc.Gov/ncbddd/birthdefects and select specific birth defects in the left column; scroll down to "gastroschisis". ...Read more

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Can you explain exactly what is wrong in gastroschisis?

Can you explain exactly what is wrong in  gastroschisis?

Birth defect: In gastroschisis the baby is born with the intestines protruding ouside of the abdominal cavity through a hole (defect) beside the umbilicus (belly button). For details including an image go to the birth defects homepage of the cdc at www.Cdc.Gov/ncbddd/birthdefects and select specific birth defects in the left column; scroll down to "gastroschisis". ...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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Are their any alternatives to surgery for gastroschesis?

Are their any alternatives to surgery for gastroschesis?

Depends: If you consider death a reasonable alternative than you can skip the surgery. This defect results when the intestinal contents are open to the outside through a midline defect in the abdominal wall. If surgery is not done to move the contents back into the abdomen and close the open defect, germs will invade and trigger blood poisoning and death. ...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?

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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What is the prognosis of an omphalocele and of gastroschisis?

It Depends: Both require surgery. In general the prognosis for gastroschisis is better than for omphalocele. The reason is that omphaloceles can be associated with other congenital malformations. The most significant of which are problems with the formation of the heart. Many infants, but not all, with gastroschisis will require intravenous nutrition for the first month of life but then go on to thrive. ...Read more

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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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Could my children have a increased risk of having gastroschisis?

Could my children have a increased risk of having gastroschisis?

Incomplete question: When you submit a question, you must provide enough background information for site docs to review.We have no access to uploaded files or history not in the question.Questions are not linked & are sent out at random.This is a rare disorder with a few associated factors.You are welcome to start over with background we can use. ...Read more

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

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

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. ...Read more