Gastroschisis may be good, bad, not so ugly, and falsely beautiful

Concerning the excellent paper “Closing gastroschisis: The good, the bad, and the not-so ugly” by Perrone et al. [1], we would like to add some comments regarding the type A of the classification proposed by the authors (bowel that is significantly constricted at the ring with ischemia but without atresia). In our opinion it is difficult to assume that a patient presenting a nonischemic bowel at the moment of birth has not been a type A before, as the interaction between size/rigidity of the ring and volume of extruding mesentery/bowel is dynamic.