Gastroschisis: Study Of the Situation In the Period Between 2011- 2016 at the Pereira Rossell Pediatric Hospital

Abstract

Gastroschisis is the most frequent congenital defect of the anterior abdominal wall. It is classified as simple
or complicated according to whether or not they present abnormalities at the intestinal level. Prenatal
diagnosis is made in 75%-95% of the patients. The treatment is surgical, achieving a primary closure in 80%of cases. The global mortality reported at an international level is 10%.
A cross-sectional retrospective observational study was performed in which gastroschisis patients operated at
the Pediatric Hospital of the Pereira Rossell Hospital Center between January 1, 2011 and May 30, 2016 were
analyzed. The following variables were studied: the pathology, maternal age, gestational age at diagnosis and
at birth, birth route, associated anomalies, surgical technique, incidence of complications and mortality.
In the period under study, 62 patients diagnosed with gastroschisis were operated on, of which 48 fetuses
(77.4%) had a prenatal diagnosis. 53.2% were born by vaginal delivery and 53% were born preterm. In 85.5%
a primary closure was achieved. 69.4% of the neonates presented complications, infections being the
most frequent. Mortality was 12.9%, with sepsis being the most frequent cause.
Although we have improved in the prenatal diagnosis index and in the route of birth, and the figures of
treatment and mortality are similar to the figures published internationally, there is a high number of
infectious complications, which condition the evolution and prognosis of these patients.