Prenatal diagnosis of gastric and small bowel atresia: a case series and review of the literature

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dc.contributor.authorTonni, Gabriele
dc.contributor.authorGrisolia, Gianpaolo
dc.contributor.authorGranese, Roberta
dc.contributor.authorGiacobbe, Annamaria
dc.contributor.authorNapolitano, Marcello
dc.contributor.authorPassos, Jurandir Piass [UNIFESP]i
dc.contributor.authorAraujo Junior, Edward [UNIFESP]
dc.date.accessioned2019-01-21T10:29:56Z
dc.date.available2019-01-21T10:29:56Z
dc.date.issued2016
dc.description.abstractObjective: To describe seven cases of gastrointestinal tract (GIT) obstructions and to report a skewed review of the literature. Methods: We performed a search of our permanent perinatal database about cases with prenatal ultrasound and MRI diagnosis of gastrointestinal tract obstructions between 2006 and 2013. All cases were followed until hospital discharge and pre-natal diagnosis were confirmed by fetal MRI, postnatal imaging and/or intra-operative findings. Maternal age, parity, gestational age at diagnosis, ultrasound findings, gestational age at delivery, Apgar scores at 1 and 5 min and postnatal outcome have been recorded. Results: We identified seven cases of gastric and small bowel atresia. Karyotype was normal in six cases and abnormal in one co-twin [46, XY dup (20) (qq13.1q13.3)dn] of a dichorionic-diamniotic pregnancy. The mean +/- SD for maternal age, gestational age at diagnosis, gestational at delivery, birth weight and Apgar scores at 1 and 5 min were 30.8 +/- 4.8 years, 29.8 +/- 3.7 weeks, 2507.5 +/- 727.5 g and 5.6 +/- 2.1, 7.6 +/- 1.6, respectively. All fetuses' undergone surgical procedures in the postnatal period and all of them were discharged live from the hospital. Conclusion: Prompted antenatal detection of gastrointestinal tract obstruction using ultrasound proved to be diagnostic in all cases. Fetal MRI aid was a useful complementary diagnostic investigation. Correct pre-natal diagnosis allows adequate counseling, delivery planning and management care by a multidisciplinary team.en
dc.description.affiliationDepartment of Obstetrics & Gynecology , Guastalla Civil Hospital , AUSL Reggio Emilia, Reggio Emilia , Italy
dc.description.affiliationDepartment of Obstetrics & Gynecology , Hospital "C. Poma", Mantua , Italy
dc.description.affiliationDepartment of Pediatric , Gynecological, Microbiological and Biomedical Sciences, Università Degli Studi Di Messina , Messina , Italy
dc.description.affiliationDepartment of Radiology and Neuroradiology , Istituti Clinici Di Perfezionamento , "V. Buzzi", Milan , Italy
dc.description.affiliationDepartment of Obstetrics , Paulista School of Medicine - Federal University of São Paulo (EPM-UNIFESP) , São Paulo-SP , Brazil
dc.description.affiliationUnifespDepartment of Obstetrics , Paulista School of Medicine - Federal University of São Paulo (EPM-UNIFESP) , São Paulo-SP , Brazil
dc.description.sourceWeb of Science
dc.format.extent2753-2761
dc.identifierhttps://doi.org/10.3109/14767058.2015.1107902
dc.identifier.citationJournal Of Maternal-Fetal & Neonatal Medicine. Abingdon, v. 29, n. 17, p. 2753-2761, 2016.
dc.identifier.doi10.3109/14767058.2015.1107902
dc.identifier.issn1476-7058
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/49495
dc.identifier.wosWOS:000377256800005
dc.language.isoeng
dc.publisherTaylor & francis ltd
dc.relation.ispartofJournal Of Maternal-Fetal & Neonatal Medicine
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectGastrointestinal Obstructionsen
dc.subjectOutcomeen
dc.subjectPostnatal Surgeryen
dc.subjectPrenatal Diagnosisen
dc.subjectSmall Bowel AtresiaIntestinal Hypoperistalsis Syndromeen
dc.subjectIleal Atresiaen
dc.subjectDuodenal Atresiaen
dc.subjectPyloric Atresiaen
dc.subjectSonographic Appearanceen
dc.subjectGastrointestinal-Tracten
dc.subjectEpidermolysis-Bullosaen
dc.subjectPostnatal Correlationen
dc.subjectOutlet Obstructionen
dc.subjectMeconium Ileusen
dc.titlePrenatal diagnosis of gastric and small bowel atresia: a case series and review of the literatureen
dc.typeinfo:eu-repo/semantics/review
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