Incidence of surgical procedures for gastrointestinal complications after abdominal wall closure in patients with gastroschisis and omphalocele.
Beckwith–Wiedemann syndrome
Bowel obstruction
Ileus
Parenteral nutrition
Short bowel syndrome
Trisomy 21
Journal
Pediatric surgery international
ISSN: 1437-9813
Titre abrégé: Pediatr Surg Int
Pays: Germany
ID NLM: 8609169
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
accepted:
03
08
2021
pubmed:
27
8
2021
medline:
21
10
2021
entrez:
26
8
2021
Statut:
ppublish
Résumé
This study aims to define the extent of additional surgical procedures after abdominal wall closure (AWC) in patients with gastroschisis (GS) and omphalocele (OC) with special focus on gastrointestinal related operations. A retrospective chart review was performed including all operations in GS and OC patients in the first year after AWC (2010-2019). The risk for surgery was calculated using the one-year cumulative incidence (CI). 33 GS patients (18 simple GS, 15 complex) and 24 OC patients (12 without (= OCL), 12 OC patients with liver protrusion (= OCL +)) were eligible for analysis. 43 secondary operations (23 in GS, 20 in OC patients) occurred after a median time of 84 days (16-824) in GS and 114.5 days (12-4368) in OC. Patients with complex versus simple GS had a significantly higher risk of undergoing a secondary operation (one-year CI 64.3% vs. 24.4%; p = 0.05). 86.5% of surgical procedures in complex GS and 36.3% in OCL + were related to gastrointestinal complications. Complex GS had a significantly higher risk for GI-related surgery than simple GS. Bowel obstruction was a risk factor for surgery in complex GS (one-year CI 35.7%). Complex GS and OCL + patients had the highest risk of undergoing secondary operations, especially those with gastrointestinal complications.
Identifiants
pubmed: 34435217
doi: 10.1007/s00383-021-04977-0
pii: 10.1007/s00383-021-04977-0
pmc: PMC8520871
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1531-1542Informations de copyright
© 2021. The Author(s).
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