When is antireflux medication indicated for the treatment of gastroschisis and omphalocele (abdominal hernias)?

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

An increased incidence of gastroesophageal reflux after closure of gastroschisis and omphalocele often necessitates the administration of antireflux medication. Severe reflux and hiatal hernias require operative correction. Adhesive small bowel obstruction is a frequent occurrence in the first year following treatment of congenital abdominal wall defects, with previous sepsis and fascial dehiscence as predictive factors. [26]


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