Open AccessA narrative review about challenges in periand postnatal management of gastroschisis
Author(s) -
Anca A. Simionescu,
Bianca Danciu,
Vlad Dima,
Ana Maria Alexandra Stănescu,
Dora Boghițoiu
Publication year - 2021
Publication title -
romanian journal of medical practice
Language(s) - English
Resource type - Journals
eISSN - 2069-6108
pISSN - 1842-8258
DOI - 10.37897/rjmp.2021.s4.6
Subject(s) - gastroschisis , medicine , neonatology , abdominal wall defect , abdominal wall , incidence (geometry) , narrative review , general surgery , obstetrics , pediatrics , intensive care medicine , surgery , pregnancy , fetus , biology , genetics , physics , optics
Gastroschisis is a malformation of the closure of the anterior abdominal wall which has had a growing incidence in recent years. It is a borderline pathology between several specialties such as: obstetrics, neonatology, pediatric surgery, family medicine and requires many resources. In general, the chance of survival of newborns with gastroschisis is high. However, complex cases with complications are more likely to have an unfavorable prognosis. The therapeutic plan should start from the intra-embryonic period, from the time of the ultrasound diagnosis and it should extend over a long period of time, which can vary depending on the case, and on the surgical options. When it comes to the management of the cases, there is no valid protocol for all the cases, and there is a great variability starting with the choice of birth time, birth pathway, the option of reintegrating the intestinal loops and closing the abdominal defect. Because of this, the cases of gastroschisis represent a challenge for modern medicine, when also taking into account the fact that the etiopathogenesis of this malformation is not clearly established and that there is a large variety of therapeutic options.