Prenatal ultrasound identifies predictors and the ideal neon
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A Study was conducted to evaluate the optimal approaches to initial surgical management and the potential for prenatal ultrasound detection of patients with closing gastroschisis.

Researchers examined the clinical and surgical outcomes of patients born with gastroschisis, as well as the ability to predict prognosis using prenatal imaging. Surgical observations and postoperative outcomes, as well as prenatal imaging features from a subset of cases with and without closing gastroschisis, were all collected. Statistical analyses were carried out as needed.

Results:
197 patients with gastroschisis were included.

--No statistical significance was seen in outcomes between closing gastroschisis patients undergoing resection versus intracorporeal parking.

--Ultrasound review was performed on 33 of these patients, 11 with closing gastroschisis, and 22 without. Significantly more closing gastroschisis patients had imaging indicative of progressive defect narrowing and defect diameter less than 8?mm after 30 weeks of gestation versus non-closing patients.

Finally, parking extruded bowel has the capacity to remodel the intestine. Furthermore, prenatal ultrasound may aid in the detection of a closing gastroschisis in the womb.

Source: https://www.nature.com/articles/s41372-021-01006-9
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