How common is intestinal atresia in patients with gastroschisis (abdominal hernia)?

Updated: Jul 23, 2019
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

Intestinal atresias occur in about 20% of infants with gastroschisis. Massive atresias present infrequently with their attendant sequela of short gut syndrome. Maximal bowel preservation, achieved by means of “second-look” operations 24-48 hours after initial management, may be warranted. Infants with gastroschisis are at risk for necrotizing enterocolitis after the initiation of feeding. This is managed by bowel rest and broad-spectrum antibiotics; surgery is seldom necessary.


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