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Prediction of bowel damage in patients with gastroschisis


Authors: B. Frýbová;  A. Kokešová;  R. Vlk;  M. Rygl
Authors‘ workplace: Klinika dětské chirurgie 2. lékařské fakulty Univerzity Karlovy a FN v Motole, Praha
Published in: Rozhl. Chir., 2018, roč. 97, č. 3, s. 105-108.
Category: Review

Overview

Introduction:
Gastroschisis is the most common malformation among abdominal wall defects with the incidence of 1:4−5000 live birth neonates. Postoperative care for these patients is very difficult due to the risk of abdominal compartment syndrome. The identification of markers that correlate with bowel damage in gastroschisis may prevent this serious postoperative complication.

Methods:
Review of the literature.

Conclusion:
Prenatal ultrasound prediction of bowel damage followed by an appropriate surgical strategy is a possibility of optimizing care and outcomes in gastroschisis patients. The dynamics of I-FABP is a promising biomarker for the elimination of abdominal compartment syndrome during postoperative care.

Key words:
gastroschisis − preformed silo − intraabdominal dilatation − I-FABP


Sources

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