Respiratory Disorders in Patients with Omphalocele

Space: StayCurrentMD Author: Eileen Duggan, Pramod S. Puligandla Published:

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Eileen Duggan, Pramod S. Puligandla

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Publication date: Available online 10 April 2019

Source: Seminars in Pediatric Surgery

Author(s): Eileen Duggan, Pramod S. Puligandla

Abstract

The respiratory difficulties experienced by infants with omphalocele are being appreciated with greater frequency. These problems represent self-limited difficulties related to omphalocele closure or are the result of severe pulmonary disease including pulmonary hypoplasia and pulmonary hypertension. Infants with giant omphalocele represent a unique group that may experience increased respiratory morbidity that may lead to chronic respiratory problems extending into childhood and adolescence. Importantly, respiratory insufficiency at birth is an independent predictor of mortality for patients with omphalocele. In this review, we will provide a summary of the respiratory difficulties experienced by patients with omphalocele as well as insight into management and surveillance.

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