Clinical outcomes and protocol for the management of isolated congenital diaphragmatic hernia based on our prenatal risk stratification system

Space: StayCurrentMD Author: Kazunori Masahata, Noriaki Usui, Yoshiyuki Shimizu, Muneyuki Takeuchi, Jun Sasahara, Narutaka Mochizuki, Kazuya Tachibana, Takatoshi Abe, Taku Yamamichi, Hideki Soh Published:

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Kazunori Masahata, Noriaki Usui, Yoshiyuki Shimizu, Muneyuki Takeuchi, Jun Sasahara, Narutaka Mochizuki, Kazuya Tachibana, Takatoshi Abe, Taku Yamamichi, Hideki Soh

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Abstract

Background/Purpose

The aim of this study was to evaluate our prenatal risk stratification system for risk-adjusted management in fetuses with isolated congenital diaphragmatic hernia (CDH).

Methods

Ninety-four infants prenatally diagnosed with isolated CDH treated between 1998 and 2017 at our institution were included in this retrospective single-center cohort study.

Results

The patients were prenatally classified into four risk groups: Group A (n = 54), which consisted of infants with neither liver-up nor a contralateral lung-to-thorax transverse area (L/T) ratio

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