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Anales de la Facultad de Medicina

versión On-line ISSN 2301-1254

Resumen

ORMAECHEA, Martin. Gastroschisis: Study Of the Situation In the Period Between 2011-2016 at the Pereira Rossell Pediatric Hospital. Anfamed [online]. 2019, vol.6, n.1, pp.130-149.  Epub 01-Jun-2019. ISSN 2301-1254.  http://dx.doi.org/10.25184/anfamed2019v6n1a5.

Gastroschisis is the most frequent congenital defect of the anterior abdominal wall. They are classified as simple or complicated according to whether or not they present abnormalities at the intestinal level. Prenatal diagnosis is made in 75%-95% of the patients. The treatment is surgical, achieving a primary closure in 80% of cases. The global mortality reported at an international level is 10%.

A cross-sectional retrospective observational study was performed in which gastroschisis patients operated at the Pediatric Hospital of the Pereira Rossell Hospital Center between January 1, 2011 and May 30, 2016 were analyzed. The following variables were studied: the pathology, maternal age, gestational age at diagnosis and at birth, birth route, associated anomalies, surgical technique, incidence of complications and mortality.

In the period under study, 62 patients diagnosed with gastroschisis were operated on, of which 48 fetuses (77.4%) had a prenatal diagnosis. 53.2% were born by vaginal delivery and 53% were born preterm. In 85.5% a primary closure was achieved. 69.4% of the neonates presented complications, infectious being the most frequent. Mortality was 12.9%, with sepsis being the most frequent cause.

Although we have improved in the prenatal diagnosis index and in the route of birth, and the figures of treatment and mortality are among the figures published internationally, there is a high number of infectious complications, which condition the evolution and prognosis of these patients.

Palabras clave : Abdominal Wall; Gastroschisis; Peritoneum; Congenital Pathology.

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