Gastroschisis is a birth defect marked by a gap in the muscles and skin of the abdominal wall. Intestines and other abdominal organs can push through the gap to the outside of the body.
Copyright © 2002 Nucleus Communications, Inc. All rights reserved.http://services.epnet.com/getimage.aspx?imageiid=28472847exh5601.jpgNormal Anatomy of the Large and Small IntestineNULLjpgNormal Anatomy of the Large and Small IntestineNULL\\filer01\Intellect\images\exh5601.jpgCopyright © 2002 Nucleus Communications, Inc. All rights reserved.17NULL2002-10-012914592847_854504279390Copyright © Nucleus Medical Media, Inc.
The cause of gastroschisis is not well understood. It may be caused by a mother's exposure to toxins.
Gastroschisis is more common in babies born to teenage mothers. Other things that may raise the risk in a pregnant mother are:
- Drug use
- Certain medicines
- Urinary tract infection or sexually transmitted infections (STI)
- Being around toxins
Intestines will be seen outside of the body, often to the right of the belly button.
Gastroschisis may be suspected after blood tests in the mother. A fetal ultrasound will show if there are intestines outside of the abdominal wall. Early diagnosis will help guide birth and treatment plans. If it is not found before birth, then it will be found as soon as the child is born.
Pictures may be taken after the baby is born. This can be done with ultrasound.
After the baby is born, surgery will be needed to put the organs inside the body and close the gap. The type of surgery that is done depends on the size of the defect. Large defects may need more than one surgery.
Medicines may also be given, such as:
- Dextrose and electrolyte solutions for nutrition and hydration
- Antibiotics if an infection is present or possible
There are no current guidelines to prevent gastroschisis.
- About gastroschisis. The Children’s Hospital of Philadelphia website. Available as: http://www.chop.edu/conditions-diseases/gastroschisis/about#.VPuPR46j99k.
- Facts about gastroschisis. Centers for Disease Control and Prevention website. Available as: http://www.cdc.gov/ncbddd/birthdefects/Gastroschisis.html.
- Gastroschisis. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/gastroschisis.
- Skarsgard ED. Management of gastroschisis. Curr Opin Pediatr. 2016 Jun;28(3):363-369.
- Kari Kuenn, MD
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