European reference network for rare inherited congenital anomalies (ERNICA) evidence based guideline on the management of gastroschisis.
Abdominal wall defect
Gastroschisis
Silo
Journal
Orphanet journal of rare diseases
ISSN: 1750-1172
Titre abrégé: Orphanet J Rare Dis
Pays: England
ID NLM: 101266602
Informations de publication
Date de publication:
12 Feb 2024
12 Feb 2024
Historique:
received:
18
08
2023
accepted:
03
02
2024
medline:
13
2
2024
pubmed:
13
2
2024
entrez:
12
2
2024
Statut:
epublish
Résumé
The European Reference Network for rare Inherited Congenital Anomalies, ERNICA, guidelines for gastroschisis cover perinatal period to help teams to improve care. A systematic literature search including 136 publications was conducted. Research findings were assessed following the GRADE methodology. The evidence to decision framework was used to determine the strength and direction of recommendations. The mode or timing of delivery do not impact neonatal mortality, risk of NEC or time on parenteral nutrition (PN). Intra or extra abdominal bowel dilatation predict complex gastroschisis and longer length of hospital stay but not increased perinatal mortality. Outcomes after Bianchi procedure and primary fascia closure under anesthesia are similar. Sutureless closure decreases the rate of surgical site infections and duration of ventilation compared to surgical closure. Silo-staged closure with or without intubation results in similar outcomes. Outcomes of complex gastroschisis (CG) undergoing early or delayed surgical repair are similar. Early enteral feeds starting within 14 days is associated with lower risk of surgical site infection. The panel suggests vaginal birth between 37 and 39 w in cases of uncomplicated gastroschisis. Bianchi's approach is an option in simple gastroschisis. Sutureless closure is suggested when general anesthesia can be avoided, sutured closure. If anesthesia is required. Silo treatment without ventilation and general anesthesia can be considered. In CG with atresia primary intestinal repair can be attempted if the condition of patient and intestine allows. Enteral feeds for simple gastroschisis should start within 14 days.
Sections du résumé
BACKGROUND
BACKGROUND
The European Reference Network for rare Inherited Congenital Anomalies, ERNICA, guidelines for gastroschisis cover perinatal period to help teams to improve care.
METHOD
METHODS
A systematic literature search including 136 publications was conducted. Research findings were assessed following the GRADE methodology. The evidence to decision framework was used to determine the strength and direction of recommendations.
RESULTS
RESULTS
The mode or timing of delivery do not impact neonatal mortality, risk of NEC or time on parenteral nutrition (PN). Intra or extra abdominal bowel dilatation predict complex gastroschisis and longer length of hospital stay but not increased perinatal mortality. Outcomes after Bianchi procedure and primary fascia closure under anesthesia are similar. Sutureless closure decreases the rate of surgical site infections and duration of ventilation compared to surgical closure. Silo-staged closure with or without intubation results in similar outcomes. Outcomes of complex gastroschisis (CG) undergoing early or delayed surgical repair are similar. Early enteral feeds starting within 14 days is associated with lower risk of surgical site infection.
RECOMMENDATIONS
CONCLUSIONS
The panel suggests vaginal birth between 37 and 39 w in cases of uncomplicated gastroschisis. Bianchi's approach is an option in simple gastroschisis. Sutureless closure is suggested when general anesthesia can be avoided, sutured closure. If anesthesia is required. Silo treatment without ventilation and general anesthesia can be considered. In CG with atresia primary intestinal repair can be attempted if the condition of patient and intestine allows. Enteral feeds for simple gastroschisis should start within 14 days.
Identifiants
pubmed: 38347519
doi: 10.1186/s13023-024-03062-8
pii: 10.1186/s13023-024-03062-8
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
60Informations de copyright
© 2024. The Author(s).
Références
Allin BSR, Hall NJ, Ross AR, Marven SS, Kurinczuk JJ, Knight M, et al. Development of a gastroschisis core outcome set. Arch Dis Child Fetal Neonatal Ed [Internet]. 2019;104:F76-82. https://doi.org/10.1136/archdischild-2017-314560 .
doi: 10.1136/archdischild-2017-314560
pubmed: 29540463
Guyatt GH, Oxman AD, Schünemann HJ, Tugwell P, Knottnerus A. GRADE guidelines: a new series of articles in the Journal of Clinical Epidemiology. J Clin Epidemiol. 2011;64(4):380–2.
doi: 10.1016/j.jclinepi.2010.09.011
pubmed: 21185693
Moberg J, Oxman AD, Rosenbaum S, Schünemann HJ, Guyatt G, Flottorp S, et al. The GRADE evidence to decision (EtD) framework for health system and public health decisions. Health Res Policy Syst. 2018;16(1):45.
doi: 10.1186/s12961-018-0320-2
pubmed: 29843743
pmcid: 5975536
Prieto Remón L, GBP. Methodological Handbooks & Toolkit for Clinical Practice Guidelines and Clinical Decision Support Tools for Rare or Low-Prevalence and Complex Diseases: Handbook #5: Methodology for the Development of Clinical Consensus Statements for Rare or Low-Prevalence and Complex Diseases. 2020.
Landisch RM, Yin Z, Christensen M, Szabo A, Wagner AJ. Outcomes of gastroschisis early delivery: a systematic review and meta-analysis. J Pediatr Surg. 2017;52(12):1962–71.
doi: 10.1016/j.jpedsurg.2017.08.068
pubmed: 28947324
Kirollos DW, Abdel-Latif ME. Mode of delivery and outcomes of infants with gastroschisis: a meta-analysis of observational studies. Arch Dis Child Fetal Neonatal Ed. 2018;103(4):F355–63.
doi: 10.1136/archdischild-2016-312394
pubmed: 28970315
Betran AP, Torloni MR, Zhang JJ, Gülmezoglu AM. WHO statement on caesarean section rates. Vol. 123, BJOG: An International Journal of Obstetrics and Gynaecology. Blackwell Publishing Ltd; 2016. p. 667–70.
Sun RC, Hessami K, Krispin E, Pammi M, Mostafaee S, Belfort MA, et al. Using antenatal ultrasonographic markers to predict complex gastroschisis and perinatal outcomes: a systematic-review and meta-analysis. Am J Obstet Gynecol. 2022;226(1):S693–4.
doi: 10.1016/j.ajog.2021.11.1143
D’Antonio F, Virgone C, Rizzo G, Khalil A, Baud D, Cohen-Overbeek TE, et al. Prenatal risk factors and outcomes in gastroschisis: a meta-analysis. Pediatrics. 2015;136(1):e159–69.
doi: 10.1542/peds.2015-0017
pubmed: 26122809
Ferreira RG, Mendonça CR, de Moraes CL, de Abreu Tacon FS, Ramos LLG, E Melo NC, et al. Ultrasound markers for complex gastroschisis: A systematic review and meta-analysis. Vol. 10, J Clin Med. MDPI; 2021.
Geslin D, Clermidi P, Gatibelza ME, Boussion F, Saliou AH, Le Manac’h Dove G, et al. What prenatal ultrasound features are predictable of complex or vanishing gastroschisis? A retrospective study. Prenat Diagn. 2017;37(2):168–75.
doi: 10.1002/pd.4984
pubmed: 27981591
Martillotti G, Boucoiran I, Damphousse A, Grignon A, Dubé E, Moussa A, et al. Predicting perinatal outcome from prenatal ultrasound characteristics in pregnancies complicated by gastroschisis. Fetal Diagn Ther. 2016;39(4):279–86.
doi: 10.1159/000440699
pubmed: 26625002
Pet GE, Stark RA, Meehan JJ, Javid PJ. Outcomes of bedside sutureless umbilical closure without endotracheal intubation for gastroschisis repair in surgical infants. Am J Surg. 2017;213(5):958–62.
doi: 10.1016/j.amjsurg.2017.03.017
pubmed: 28385380
Miyata S, Joharifard S, Trudeau MON, Villeneuve A, Yang J, Bouchard S. Tu-be or not tu-be? Is routine endotracheal intubation necessary for successful bedside reduction and primary closure of gastroschisis? J Pediatr Surg. 2022;57(3):350–5.
doi: 10.1016/j.jpedsurg.2021.06.011
pubmed: 34304903
Rao SC, Pirie S, Minutillo C, Gollow I, Dickinson JE, Jacoby P. Ward reduction of gastroschisis in a single stage without general anaesthesia may increase the risk of short-term morbidities: Results of a retrospective audit. J Paediatr Child Health. 2009;45(6):384–8.
doi: 10.1111/j.1440-1754.2009.01505.x
pubmed: 19490405
Choi WW, McBride CA, Bourke C, Borzi P, Choo K, Walker R, et al. Long-term review of sutureless ward reduction in neonates with gastroschisis in the neonatal unit. J Pediatr Surg. 2012;47(8):1516–20.
doi: 10.1016/j.jpedsurg.2012.01.010
pubmed: 22901910
Leadbeater K, Kumar R, Feltrin R. Ward reduction of gastroschisis: Risk stratification helps optimise the outcome. Pediatr Surg Int. 2010;26(10):1001–5.
doi: 10.1007/s00383-010-2659-5
pubmed: 20658297
Miyake H, Seo S, O’Connell JS, Janssen Lok M, Pierro A. Safety and usefulness of plastic closure in infants with gastroschisis: a systematic review and meta-analysis. Pediatr Surg Int. 2019;35(1):107–16.
doi: 10.1007/s00383-018-4381-7
pubmed: 30392129
Youssef F, Gorgy A, Arbash G, Puligandla PS, Baird RJ. Flap versus fascial closure for gastroschisis: A systematic review and meta-analysis. In: Journal of Pediatric Surgery. W.B. Saunders; 2016. p. 718–25.
Fraser JD, Deans KJ, Fallat ME, Helmrath MA, Kabre R, Leys CM, et al. Sutureless vs sutured abdominal wall closure for gastroschisis: operative characteristics and early outcomes from the Midwest Pediatric Surgery Consortium. J Pediatr Surg. 2020;55(11):2284–8.
doi: 10.1016/j.jpedsurg.2020.02.017
pubmed: 32151403
Alshehri A, Emil S, Laberge JM, Skarsgard E. Outcomes of early versus late intestinal operations in patients with gastroschisis and intestinal atresia: results from a prospective national database. J Pediatr Surg. 2013;48(10):2022–6.
doi: 10.1016/j.jpedsurg.2013.04.003
pubmed: 24094951
Bhat V MMB V. Gastroschisis: a state-of-the-art review . Children (Basel). 2020;
Emil S. Surgical strategies in complex gastroschisis. Semin Pediatr Surg. 2018;27(5):309–15.
doi: 10.1053/j.sempedsurg.2018.08.003
pubmed: 30413262
Rentea RM, Gupta V. Gastroschisis. 2020; http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?holding=inleurlib_fft&cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=32491817
Owen A, Marven S, Jackson L, Antao B, Roberts J, Walker J, et al. Experience of bedside preformed silo staged reduction and closure for gastroschisis. J Pediatr Surg. 2006;41(11):1830–5.
doi: 10.1016/j.jpedsurg.2006.06.048
pubmed: 17101353
Hong L, Wu YM, Yan Z long, Chen S, Wang J. Modified silo technique—An easy and effective method to improve the survival rate of neonates with gastroschisis in Shanghai. Eur J Obst Gynecol Reprod Biol. 2010;148(1):31–4.
Aljahdali A, Mohajerani N, Skarsgard ED. Effect of timing of enteral feeding on outcome in gastroschisis. In: Journal of Pediatric Surgery. 2013. p. 971–6.
Dama M, Rao U, Gollow I, Bulsara M, Rao S. Early Commencement of Enteral Feeds in Gastroschisis: A Systematic Review of Literature. Vol. 27, European Journal of Pediatric Surgery. Georg Thieme Verlag; 2017. p. 503–15.
Lemoine JB, Smith RR, White D. Got milk? Effects of early enteral feedings in patients with gastroschisis. Adv Neonatal Care. 2015;15(3):166–75.
doi: 10.1097/ANC.0000000000000171
pubmed: 25938951
Raduma OS, Jehangir S, Karpelowsky J. The effect of standardized feeding protocol on early outcome following gastroschisis repair: A systematic review and meta-analysis. Vol. 56, Journal of Pediatric Surgery. W.B. Saunders; 2021. p. 1776–84.
Utria AF, Wong M, Faino A, Jacobson E, Javid PJ. The role of feeding advancement strategy on length of stay and hospital costs in newborns with gastroschisis. J Pediatr Surg. 2022;57(3):356–9.
doi: 10.1016/j.jpedsurg.2021.04.011
pubmed: 34020775
Ma M, Garingo A, Jensen AR, Bliss D, Friedlich P. Complication risks associated with lower versus upper extremity peripherally inserted central venous catheters in neonates with gastroschisis. J Pediatr Surg. 2015;50(4):556–8.
doi: 10.1016/j.jpedsurg.2014.08.026
pubmed: 25840062
Benachi A, Sarnacki S. Prenatal counselling and the role of the paediatric surgeon. Semin Pediatr Surg. 2014;23(5):240–3.
doi: 10.1053/j.sempedsurg.2014.09.002
pubmed: 25459006
biarent1998.
Aite L, Trucchi A, Nahom A, Zaccara A, La Sala E, Bagolan P. Antenatal diagnosis of surgically correctable anomalies: effects of repeated consultations on parental anxiety. J Perinatol. 2003;23(8):652–4.
doi: 10.1038/sj.jp.7210992
pubmed: 14647162
Marokakis S, Kasparian NA, Kennedy SE. Prenatal counselling for congenital anomalies: a systematic review. Prenat Diagn. 2016;36(7):662–71.
doi: 10.1002/pd.4836
pubmed: 27150825
Berman L, Jackson J, Miller K, Kowalski R, Kolm P, Luks FI. Expert surgical consensus for prenatal counseling using the Delphi method. J Pediatr Surg. 2018;53(8):1592–9.
doi: 10.1016/j.jpedsurg.2017.11.056
pubmed: 29274787
Skreden M, Skari H, Malt UF, Haugen G, Pripp AH, Faugli A, et al. Long-term parental psychological distress among parents of children with a malformation - a prospective longitudinal study. Am J Med Genet A. 2010;152(9):2193–202.
doi: 10.1002/ajmg.a.33605
Le Gouëz M, Alvarez L, Rousseau V, Hubert P, Abadie V, Lapillonne A, et al. Posttraumatic stress reactions in parents of children esophageal atresia. PLoS One. 2016 Mar 1;11(3).
Sudan D, DiBaise J, Torres C, Thompson J, Raynor S, Gilroy R, et al. A multidisciplinary approach to the treatment of intestinal failure. J Gastrointest Surg. 2005;9(2):165–77.
doi: 10.1016/j.gassur.2004.10.014
pubmed: 15694812
Torres C, Sudan D, Vanderhoof J, Grant W, Botha J, Raynor S, et al. Role of an intestinal rehabilitation program in the treatment of advanced intestinal failure. J Pediatr Gastroenterol Nutr. 2007;45(2):204–12.
doi: 10.1097/MPG.0b013e31805905f9
pubmed: 17667717
Sigalet D, Boctor D, Brindle M, Lam V, Robertson M. Elements of successful intestinal rehabilitation. J Pediatr Surg. 2011;46(1):150–6.
doi: 10.1016/j.jpedsurg.2010.09.083
pubmed: 21238657
Nucci A, Cartland Burns R, Armah T, Lowery K, Yaworski JA, Strohm S, et al. Interdisciplinary management of pediatric intestinal failure: A 10-year review of rehabilitation and transplantation. J Gastrointest Surg. 2008;12(3):429–36.
doi: 10.1007/s11605-007-0444-0
pubmed: 18092190
Gover A, Albersheim S, Sherlock R, Claydon Msc J, Butterworth S, Ma BK, et al. Outcome of patients with gastroschisis managed with and without multidisciplinary teams in Canada [Internet]. Vol. 19, Paediatr Child Health. 2014. Available from: https://academic.oup.com/pch/article/19/3/128/2647187
Morche J, Mathes T, Jacobs A, Wessel L, Neugebauer EAM, Pieper D. YJPSU [mNS. J Pediatr Surg. 2022;20:54. www.elsevier.com/locate/jpedsurg.org
European committee. Eurocat. https://eu-rd-platform.jrc.ec.europa.eu/eurocat_en . 2023.
Carpenter JL, Wiebe TL, Cass DL, Olutoye OO, Lee TC. Assessing quality of life in pediatric gastroschisis patients using the Pediatric Quality of Life Inventory survey: An institutional study. In: Journal of Pediatric Surgery. W.B. Saunders; 2016. p. 726–9.
De Bie F, Swaminathan V, Johnson G, Monos S, Adzick NS, Laje P. Long-term core outcomes of patients with simple gastroschisis. J Pediatr Surg. 2021;56(8):1365–9.
doi: 10.1016/j.jpedsurg.2020.09.008
pubmed: 33012557
Amin R, Knezevich M, Lingongo M, Szabo A, Yin Z, Oldham KT, et al. Long-term quality of life in neonatal surgical disease. Ann Surg. 2018;268(3):497–505.
doi: 10.1097/SLA.0000000000002918
pubmed: 29994930
Arnold HE, Baxter KJ, Short HL, Travers C, Bhatia A, Durham MM, et al. Short-term and family-reported long-term outcomes of simple versus complicated gastroschisis. J Surg Res. 2018;1(224):79–88.
doi: 10.1016/j.jss.2017.11.054
Hijkoop A, Rietman AB, Wijnen RMH, Tibboel D, Cohen-Overbeek TE, van Rosmalen J, et al. Gastroschisis at school age: what do parents report? Eur J Pediatr. 2019;178(9):1405–12.
doi: 10.1007/s00431-019-03417-5
pubmed: 31325028
pmcid: 6694033
Snoep MC, de Heus R, Manten GTR, Lap CCMM, Snoeker BAM, Lindeboom MYA. Gastro-intestinal function and quality of life are favorable in adolescent and adult gastroschisis patients. Early Hum Dev. 2020;1:141.
Tosello B, Zahed M, Guimond F, Baumstarck K, Faure A, Michel F, et al. Neurodevelopment and health-related quality of life in infants born with gastroschisis: a 6-year retrospective French study. Eur J Pediatr Surg. 2017;27(4):352–60.
doi: 10.1055/s-0036-1597268
pubmed: 27931048
Rankin J, Glinianaia SV, Jardine J, Mcconachie H, Borrill H, Embleton ND. Measuring self-reported quality of life in 8- to 11-year-old children born with gastroschisis: is the KIDSCREEN questionnaire acceptable? Birth Defects Res A Clin Mol Teratol. 2016;106(4):250–6.
doi: 10.1002/bdra.23480
pubmed: 26931186
Frybova B, Kokesova A, Zemkova D, Mixa V, Vlk R, Rygl M. Quality of life in patients with gastroschisis is comparable with the general population: A questionnaire survey. Biomedical Papers. 2017;161(1):75–9.
doi: 10.5507/bp.2016.059
pubmed: 27982137