Gastrointestinal function and radiographic appearance following gastroschisis repair+

https://doi.org/10.1016/S0022-3468(71)80003-9Get rights and content

Summary

Six newborn infants with gastroschisis, and antenatal evisceration of the entire gastrointestinal tract underwent successful staged repair with silastic sheeting and are now between 17 mo and 6 1/2 yr of age. In spite of the usual short, coiled, edematous gut with loops matted together, all are above the 25th percentile for height and weight and have normal gastrointestinal function.

Upper gastrointestinal and barium enema examinations carried out later in these patients showed some degree of nonrotation of the colon to be present in all. The length and mucosal surface of visualized small intestine was normal but the colon appeared redundant and longer than normal. Evacuation of the colon was prompt and complete. The shortening and severe inflammation of the eviscerated intestine are apparently reversible following gastroschisis repair.

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Supported in part by USPHS R.R. 05358-09.

1

From the Section of Pediatric Surgery, Department of Surgery and Department of Radiology, Yale University School of Medicine, and the Yale-New Haven Hospital.

2

Robert J. Touloukian, M.D.: Assistant Professor of Surgery and Pediatrics, Yale University School of Medicine, New Haven, Conn.

3

Thomas J. Spackman, M.D.: Assistant Professor of Radiology, Yale University School of Medicine, New Haven, Conn.

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