Gastroschisis
Everything in the library about gastroschisis — built automatically from the recorded discussions that name it
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Fundamentals
2 items
Omphalocele and Gastroschisis With Dr. Foong-Yen Lim
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Omphalocele and Gastroschisis are abdominal wall defects that develop in-utero and surgically treated post-birth. Join Dr. Foong-Yen Lim, Surgical Director of the Cincinnati Children’s Fetal Care Center, and Dr. Todd Ponsky to discuss the p
podcast9:31 · Feb 2022
Omphalocele & Gastroschisis
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Abdominal wall defects like omphalocele and gastroschisis can lead to potentially complex postnatal care which is why today we are going to discuss some key knowledge points from Dr. Foong-Yen Lim: pediatric surgeon at Cincinnati Children’s
video9:32 · Mar 2022
Acute Management
1 item
Gastroschisis: Advanced Practice Providers
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Joyce Slusher, MSN, CNP, presents on perioperative management of gastroschisis for advanced practice providers.
video43:21 · Jan 2019
Nutritional Management
2 items
Intestinal Failure - Feeding Access and Nutrition
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Dr. Michael Helmrath discusses alternative feeding techniques for intestinal failure, distal feeding, button insertion illustration, anastomosis, dilated bowel segments, small bowel length significance, liver disease, international patient
video118:06 · Nov 2018
Update Course 2022 - UPDATES IN GASTROSCHISIS FEEDING PROTOCOLS - Jason Fraser, Beth Rymeski, and Steven Lee
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In this session we discuss protocols for feeding gastroschisis patients with Drs. Jason Fraser, Beth Rymeski, and Steven Lee.
Articles discussed:
Minimizing Variance in Gastroschisis Management Leads to Earlier Full Feeds in Delayed C
video21:09 · Sep 2022
Surgical Management
5 items
Staged Closure of Gastroschisis with Spring-loaded Silo
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This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pedia
video27:29 · Feb 2020
Staged Closure of Gastroschisis with Spring-loaded Silo
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This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pedia
video27:11 · Feb 2020
Sutureless Closure of Gastroschisis - APSA Practice Gaps 2019
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At the 7th Annual Pediatric Surgery Update Course, Dr. Saleem Islam discusses sutureless closure of gastroschisis, one of the 2019 practice gaps identified by the American Pediatric Surgical Association’s Professional Development Committee.
video21:04 · Mar 2020
Umbilical Cord Defects with Dr. Kenneth Azarow
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This podcast discusses the work up and management of umbilical cord defects. Dr. Todd A. Ponsky is an associate professor of surgery and pediatrics and pediatric surgeon at Akron Children's Hospital. Dr. Kenneth S. Azarow is surgeon-in-chie
podcast30:16 · Dec 2020
Gastroschisis and sutureless abdominal wall closure
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Dr. Rod Gerardo and Dr. Todd Ponsky talk to Dr. Jason Fraser about the paradigm shift in gastroschisis management that is still in flux. Plus a deep dive into Dr. Fraser's recent publication: "Sutureless vs sutured abdominal wall closure fo
podcast12:17 · Jan 2021
Complications
1 item
Error Traps and Culture of Safety in Abdominal Wall Defects
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This video highlights a few key points from the "Error Traps and Culture of Safety in Abdominal Wall Defects" article published in Seminars in Pediatric Surgery, provided by lead author Dr. Sherif Emil . Find the full article at: www.scienc
video · Oct 2019
Evidence & Research
10 items
91% Decrease in Mortality with Gastroschisis Bundle!
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By adopting a gastroschisis bundle protocol, a group from Hospital Infantil de México Federico Gomez was able to reduce their mortality from 22% to just 2%! Congratulations to Cristian Zalles-Vidal, Jaime Nieto-Zermeño, and the other author
video3:12 · Dec 2018
Immediate vs Silo Closure for Gastroschisis
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Dr. Ponsky reviews his takeaways from the JPS article, “Immediate Versus Silo Closure for Gastroschisis: Results of a Large Multicenter Study.”Link to full article: https://gcmd.co/2PItKT3
video0:26 · Dec 2019
Journal of Pediatric Surgery Article Review: January 2022 APSA Issue
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We're back with the January issue of JPS article highlights. This time we're talking to editor Dr. Cassandra Kelleher and authors Drs. Gail Besner, Shahrazad Joharifard and Sarah Stokes with Dr. Todd Ponsky. Hosts: Ellen Encisco, Em Tombash
podcast13:09 · Feb 2022
Update Course Rewind: 2022 Top Ten Key Takeaways
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The 10th annual Pediatric Surgery Update Course was held as a webinar on August 30, 2022. We had a lot of lively discussion and engaging presentations on the latest updates in pediatric surgery. In this video we are reviewing the top ten ke
video · Jun 2023
Quick Literature Updates Episode 11
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We’re back with eleventh episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. This episode, we will review three articles covering the mo
video · Jul 2023
Journal of Pediatric Surgery Article Review: 2nd Quarter (Apr-Jun) 2024
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We are back with another episode of our Journal of Pediatric Surgery article review podcast. This time we have three publications from the second quarter of 2024, April, May, and June issues. This time we're talking to editors Drs. Mary Bri
podcast17:03 · Sep 2024
Journal of Pediatric Surgery Article Review: 3rd Quarter (Jul-Sep) 2024
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We are back with another episode of our Journal of Pediatric Surgery article review podcast. This time we have three publications from the third quarter of 2024, July, August and September issues. This time we're talking to editors Drs. Col
podcast19:28 · Oct 2024
Management of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations
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Mark B Slidell, Jarod McAteer, Doug Miniati, Stig Sømme, Derek Wakeman, Kristy Rialon, Don Lucas, Alana Beres, Henry Chang, Brian Englum, Akemi Kawaguchi, Katherine Gonzalez, Elizabeth Speck, Gustavo Villalona, Afif Kulaylat, Rebecca Rentea
video0:55 · Jan 2025
Quick Literature Updates Episode 16
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We’re back with sixteenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most inte
video4:21 · Jan 2025
Quick Literature Updates Ep 22
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We’re back with 22nd episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesti
video4:23 · Oct 2025
Case-Based Learning
2 items
Abdominal Wall Defects
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Dr. Jacob Langer discusses various abdominal wall defects through case presentation.Topics of discussion include atresia, gastroschisis, fascial defects, staged closure by silo, and ruptured omphalocele.
video37:50 · Nov 2018
Abdominal Wall Defects: Update Course 2013
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Dr. Jacob Langer discusses various abdominal wall defects through case presentation.Topics of discussion include atresia, gastroschisis, fascial defects, staged closure by silo, and ruptured omphalocele.
video37:40 · Jan 2019
In-Depth Reviews
2 items
Abdominal Wall Defects with Dr. Jacob Langer
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Dr Jacob Langer discusses abdominal wall defects with Dr. Todd Ponsky.Edited by Ian C. Glenn, MD and Sophia Abdulhai, MDAn interactive discussion about gastroschisis and omphalocele between Todd Ponsky, MD and Jacob "Jack" Langer, MD. Dr. L
podcast52:45 · Jan 2019
Abdominal Wall Defects with Dr. Jacob Langer
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Dr Jacob Langer discusses abdominal wall defects with Dr. Todd Ponsky.Edited by Ian C. Glenn, MD and Sophia Abdulhai, MDAn interactive discussion about gastroschisis and omphalocele between Todd Ponsky, MD and Jacob "Jack" Langer, MD. Dr. L
podcast52:45 · Dec 2020
Patient & Family Education
1 item
What is Gastroschisis? An ERNICA animation for parents and families
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Animation video [in English]. Target audience: Parents and families. The video could also be used as an explanatory tool by healthcare professionals.
For further details about this condition, possible complications and specialised care,
video2:59 · Dec 2023
Long-Term Care
1 item
Educational Outcomes in School-Aged Children With a History of Simple and Complex Gastroschisis are Poor Compared to Controls
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Osamuyi Asemota, Gabrielle Derraugh, Matthew Levesque, Anna C Shawyer, Suyin A Lum Min, Richard Keijzer
Background: Research on long-term cognitive outcomes of children with gastroschisis is limited and inconsistent. This study aimed to
video0:53 · Apr 2025
Summaries and takeaways+ Show
The doctors in this collection+ Show
All expert statements+ Show
Every expert statement below comes from the recorded discussions, with its speaker and moment.
Journal of Pediatric Surgery Article Review: 3rd Quarter (Jul-Sep) 2024
85% of Hirschsprung disease patients in the study were diagnosed at less than 1 year of age
host_summaryEm Gootee3:20 ↗
Kids with shorter segment Hirschsprung disease (rectosigmoid or small portion of aganglionic bowel) were more likely to be diagnosed at a later age
host_summaryEm Gootee3:45 ↗
Children with long segment Hirschsprung disease typically presented at birth with classic symptoms such as failure to pass meconium
host_summaryEm Gootee3:57 ↗
Delayed diagnosis of Hirschsprung disease does not impact postoperative outcomes nor the need for revision surgery of the pull-through
clinicalColin Martin4:12 ↗
Delayed diagnosis is associated with increased need for fecal diversion after pull-through
clinicalColin Martin4:12 ↗
Approximately one-third of neonates and 50% of infants, toddlers, and children had diverting ostomies performed prior to pull-through
host_summaryEm Gootee4:26 ↗
There was no difference in overall rates of redo pull-throughs across age groups
host_summaryEm Gootee5:01 ↗
Older children were more likely to need a redo pull-through due to an anastomotic leak
host_summaryEm Gootee5:07 ↗
Higher rates of diverting ostomy post pull-through were likely a treatment for a post pull-through leak or anastomotic leak
host_summaryEm Gootee5:13 ↗
The only functional outcome that was different was nighttime soiling or incontinence in the older patient population
host_summaryEm Gootee5:24 ↗
Neonates with gastroschisis consume a disproportionate amount of resources compared to other children in the NICU
epidemiologicalMark Slidell7:43 ↗
The gastroschisis systematic review included 28 high quality manuscripts
host_summaryEm Gootee8:09 ↗
Two randomized controlled trials on gastroschisis had been started but both ended prematurely and were underpowered
host_summaryEm Gootee8:15 ↗
There is no evidence to suggest that earlier delivery prior to 37 weeks for gastroschisis is justified
clinicalCasey Culkins9:39 ↗
Planned delivery before 37 weeks gestational age for gastroschisis is probably not beneficial and may in fact be harmful
clinicalMark Slidell9:56 ↗
Early delivery may promote some of the complications of prematurity
clinicalMark Slidell10:04 ↗
Delivery of infants with gastroschisis after 37 weeks post-conception seems to be preferable
clinicalMark Slidell10:04 ↗
Skin organisms are most commonly identified in infections among infants with gastroschisis
host_summaryEm Gootee10:37 ↗
Gastroschisis infants have a fairly high rate of wound infection
host_summaryEm Gootee10:44 ↗
Silo closures have a higher rate of infection than other closure methods
host_summaryEm Gootee10:50 ↗
Sutureless closure has the lowest rate of infection in gastroschisis
host_summaryEm Gootee10:50 ↗
Recommendation is to provide antibiotic coverage for skin flora until the gastroschisis defect is closed and potentially for an additional 24 hours thereafter
host_summaryEm Gootee10:57 ↗
Once the gastroschisis defect is closed, antibiotics can be safely stopped unless there is some other reason to continue
guidelineCasey Culkins11:11 ↗
Stable gastroschisis infants with sufficient abdominal capacity for sutureless closure tend to have the best outcomes
host_summaryEm Gootee12:22 ↗
Minimizing fluids and paralytics in gastroschisis infants improves their results
host_summaryEm Gootee12:29 ↗
Sutureless repair for gastroschisis is associated with a clear decrease in the need for mechanical ventilation
clinicalCasey Culkins13:05 ↗
The literature on gastroschisis suffers from a lack of level 1 randomized controlled trials or high level comparative studies
opinionMark Slidell13:17 ↗
The Clavien-Madadi classification showed improved agreement rates of respondents at 85% versus 76% for the Clavien-Dindo classification
clinicalWhit Holcomb16:39 ↗
The Clavien-Madadi classification was less frequently considered inaccurate for rating in the pediatric population compared to the Clavien-Dindo classification
clinicalWhit Holcomb16:53 ↗
43% of pediatric surgeons preferred the Clavien-Madadi classification compared to 12% for the Clavien-Dindo classification
host_summaryEm Gootee17:04 ↗
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