8 doctors weighed in:

Can you wait to operate on gastrochesis if the protrusion is not very severe?

8 doctors weighed in
Dr. Janet Meller
Surgery - Pediatric
4 doctors agree

In brief: No

In gastroschisis, the intestines are completely exposed to the environment, therefore, they must be covered with a silastic container or returned to the abdominal cavity as an emergency.

In brief: No

In gastroschisis, the intestines are completely exposed to the environment, therefore, they must be covered with a silastic container or returned to the abdominal cavity as an emergency.
Dr. Janet Meller
Dr. Janet Meller
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Dr. Charles Breaux
Surgery - Pediatric
1 doctor agrees

In brief: No

A baby born with gastroschisis has its guts protruding through an abdominal wall defect.
The bowel must be placed in the belly cavity & the hole in the abdominal wall closed. Ideally, this is done on the day the baby is born. Sometimes, the bowel will not fit inside, & a temporary "silo" is placed on the abdominal wall to hold the bowel until the abdominal wall stretches & everything fits inside.

In brief: No

A baby born with gastroschisis has its guts protruding through an abdominal wall defect.
The bowel must be placed in the belly cavity & the hole in the abdominal wall closed. Ideally, this is done on the day the baby is born. Sometimes, the bowel will not fit inside, & a temporary "silo" is placed on the abdominal wall to hold the bowel until the abdominal wall stretches & everything fits inside.
Dr. Charles Breaux
Dr. Charles Breaux
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Dr. Troy Reyna
Surgery - Pediatric
1 doctor agrees

In brief: No

Waiting places the eviscerated organs at risk.
If defect is small then the resulting surgery will be very uncomplicated and less risk to the baby.

In brief: No

Waiting places the eviscerated organs at risk.
If defect is small then the resulting surgery will be very uncomplicated and less risk to the baby.
Dr. Troy Reyna
Dr. Troy Reyna
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Dr. James Ferguson
Pediatrics
1 doctor agrees

In brief: Depends

A child with true gastroschesis will need repair relatively quickly, but excellent care in a nicu can delay the procedure for a matter of hours not days.
The fact that intestines are sitting outside the body creates a great infection risk for the bowel & a risk of sepsis (blood poisoning) for the baby.Time needed for transport to a specialty center is the most common reason for acceptable delay.

In brief: Depends

A child with true gastroschesis will need repair relatively quickly, but excellent care in a nicu can delay the procedure for a matter of hours not days.
The fact that intestines are sitting outside the body creates a great infection risk for the bowel & a risk of sepsis (blood poisoning) for the baby.Time needed for transport to a specialty center is the most common reason for acceptable delay.
Dr. James Ferguson
Dr. James Ferguson
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