Medium and long-term outcomes of gastroschisis
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In brief
In brief
This review examines medium and long-term outcomes in gastroschisis patients beyond initial survival, highlighting gastrointestinal complications and emerging evidence of neurodevelopmental, cognitive, and auditory sequelae. Complex cases with bowel atresia or necrosis carry higher morbidity, necessitating structured multidisciplinary follow-up protocols.
Written by the GCMD Library team from the article.
Publication date: October 2018
Source: Seminars in Pediatric Surgery, Volume 27, Issue 5
Author(s): Janne Suominen, Risto Rintala
Abstract
As survival of gastroschisis patients has improved significantly, it has become apparent that longitudinal follow up strategies need to be developed. Problems concerning patients with gastroschisis are usually associated with gastrointestinal morbidity, but there is mounting evidence that also neurodevelopmental, cognitive, behavioral and late-onset auditory sequelae exist. The presence of associated anomalies, as well as complex features (bowel atresia, necrosis, volvulus, perforation) increase morbidity and impact long-term outcomes. Multidisciplinary follow-up is required, and the key elements of such follow-up are presented here.