Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Gastroschisis

Gastroschisis Abstract Perusal of literature yields less than 50 cases of gastroschisis.1-11 Rare as this condition is, it is not as uncommon as the literature would seem to indicate. Recent additions to the literature has clarified considerably the confusion that existed before regarding congenital anterior abdominal wall evisceration. Gastroschisis is now being recognized as a distinct entity offering an unique surgical challenge. An attempt is made here to present a general review of the condition, and also to suggest some techniques of management which may result in lowered mortality. Eight cases of gastroschisis seen in our hospital during a 2½-year period forms the basis of this report. Report of Cases Case 1.—A 5-hour-old female infant weighing 1,400 gm (3 lb 1% oz) was admitted with a diagnosis of gastroschisis (Table). There was a 3-cm defect to the right of the umbilicus. Evisceration of the stomach and entire small bowel with "Christmas References 1. Bernstein, P.: Gastroschisis, a Rare Teratological Condition in the Newborn , Arch Pediat 57:505-519 ( (Aug) ) 1940. 2. Cook, T.D.: Gastroschisis , Surgery 46:618-623 ( (Sept) ) 1959. 3. Hutchin, P.: Gastroschisis With Antenatal Evisceration of the Entire Gastrointestinal Tract , Surgery 57:297-301 ( (Feb) ) 1965. 4. Izant, R.J., and Brown, F.: Current Embryology and Treatment of Gastroschisis and Omphalocele , Arch Surg 93:49-53 ( (July) ) 1966.Crossref 5. Judd, D.R.; Wince, L.; and Moore, T.C.: Gastroschisis: Report of Two Cases Successfully Treated , Surgery 58:1033-1036 ( (Dec) ) 1965. 6. Kiesewetter, W.B.: Gastroschisis , Arch Surg 75:28-30 ( (July) ) 1957.Crossref 7. Moore, T.C., and Stokes, G.E.: Gastroschisis , Surgery 33:112-120 ( (Jan) ) 1953. 8. Ravitch, M.M.: Giant Omphalocele: Second Stage Repair With the Aid of Pneumoperitoneum , JAMA 185:42-44 ( (July 6) ) 1963.Crossref 9. Schuster, S.R.: A New Method for Staged Repair of Large Omphaloceles , Surg Gynec Obstet 125:837-850 ( (Oct) ) 1967. 10. Simpson, R.L., and Caylor, H.D.: Gastroschisis , Amer J Surg 96:675-678 ( (Nov) ) 1958.Crossref 11. Hardaway, R.M.: Gastroschisis , Amer J Surg 87:636-638 ( (April) ) 1954.Crossref 12. Duhamel, B.: Embryology of Exomphalos and Allied Malformations , Arch Dis Child 38:142-147 ( (April) ) 1963.Crossref 13. Berman, E.J.: Gastroschisis: With Comment on Embryological Development and Surgical Treatment , Arch Surg 75:788-792 ( (Nov) ) 1957.Crossref 14. Gross, R.E., and Blodgett, J.B.: Omphalocele in the Newly Born , Surg Gynec Obstet 71:520-527 ( (Oct) ) 1940. 15. Moore, T.C.: Gastroschisis With Antenatal Evisceration of Intestines and Urinary Bladder , Ann Surg 158:263-269 ( (Aug) ) 1963.Crossref 16. Rickham, P.P.: Rupture of Exomphalos and Gastroschisis , Arch Dis Child 38:138-141 ( (April) ) 1963.Crossref 17. McMahon, R.S.: The Treatment of Gastroschisis , Brit J Surg 51:712-713 ( (Sept) ) 1964.Crossref 18. Denes, J.; Leb, J.; and Lukacs, F.V.: Gastroschisis , Surgery 63:701-705 ( (April) ) 1968. 19. Steichen, F.M.: A Simple Method for Establishing, Maintaining and Regulating Surgically Induced Pneumoperitoneum in Preparation for Large Hernia Repairs , Surgery 58:1031-1032 ( (Dec) ) 1965. 20. Lewis, J.E.: Atlas of Infant Surgery , St. Louis: The C. V. Mosby Co., 1967. 21. Lafer, D.J.: Rectus Muscle Transection for Visceral Replacement in Gastroschisis , Surgery 63:988-990 ( (June) ) 1965. 22. Free, E.A., and Takamoto, R.: Measurement of Inferior Vena Caval Pressure at the Time of Closure of Omphaloceles, read before a meeting of the American Academy of Pediatrics, Washington, DC, October, 1967. 23. Tomkins, R.K.; Kraft, A.R.; and Zollinger, R.M: Alternate Routes of Surgical Fluid Administration , J Surg Res 8:397-403 ( (Sept) ) 1968.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Loading next page...
 
/lp/american-medical-association/gastroschisis-JDWeYsKONt
Publisher
American Medical Association
Copyright
Copyright © 1969 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1969.01340120090014
Publisher site
See Article on Publisher Site

Abstract

Abstract Perusal of literature yields less than 50 cases of gastroschisis.1-11 Rare as this condition is, it is not as uncommon as the literature would seem to indicate. Recent additions to the literature has clarified considerably the confusion that existed before regarding congenital anterior abdominal wall evisceration. Gastroschisis is now being recognized as a distinct entity offering an unique surgical challenge. An attempt is made here to present a general review of the condition, and also to suggest some techniques of management which may result in lowered mortality. Eight cases of gastroschisis seen in our hospital during a 2½-year period forms the basis of this report. Report of Cases Case 1.—A 5-hour-old female infant weighing 1,400 gm (3 lb 1% oz) was admitted with a diagnosis of gastroschisis (Table). There was a 3-cm defect to the right of the umbilicus. Evisceration of the stomach and entire small bowel with "Christmas References 1. Bernstein, P.: Gastroschisis, a Rare Teratological Condition in the Newborn , Arch Pediat 57:505-519 ( (Aug) ) 1940. 2. Cook, T.D.: Gastroschisis , Surgery 46:618-623 ( (Sept) ) 1959. 3. Hutchin, P.: Gastroschisis With Antenatal Evisceration of the Entire Gastrointestinal Tract , Surgery 57:297-301 ( (Feb) ) 1965. 4. Izant, R.J., and Brown, F.: Current Embryology and Treatment of Gastroschisis and Omphalocele , Arch Surg 93:49-53 ( (July) ) 1966.Crossref 5. Judd, D.R.; Wince, L.; and Moore, T.C.: Gastroschisis: Report of Two Cases Successfully Treated , Surgery 58:1033-1036 ( (Dec) ) 1965. 6. Kiesewetter, W.B.: Gastroschisis , Arch Surg 75:28-30 ( (July) ) 1957.Crossref 7. Moore, T.C., and Stokes, G.E.: Gastroschisis , Surgery 33:112-120 ( (Jan) ) 1953. 8. Ravitch, M.M.: Giant Omphalocele: Second Stage Repair With the Aid of Pneumoperitoneum , JAMA 185:42-44 ( (July 6) ) 1963.Crossref 9. Schuster, S.R.: A New Method for Staged Repair of Large Omphaloceles , Surg Gynec Obstet 125:837-850 ( (Oct) ) 1967. 10. Simpson, R.L., and Caylor, H.D.: Gastroschisis , Amer J Surg 96:675-678 ( (Nov) ) 1958.Crossref 11. Hardaway, R.M.: Gastroschisis , Amer J Surg 87:636-638 ( (April) ) 1954.Crossref 12. Duhamel, B.: Embryology of Exomphalos and Allied Malformations , Arch Dis Child 38:142-147 ( (April) ) 1963.Crossref 13. Berman, E.J.: Gastroschisis: With Comment on Embryological Development and Surgical Treatment , Arch Surg 75:788-792 ( (Nov) ) 1957.Crossref 14. Gross, R.E., and Blodgett, J.B.: Omphalocele in the Newly Born , Surg Gynec Obstet 71:520-527 ( (Oct) ) 1940. 15. Moore, T.C.: Gastroschisis With Antenatal Evisceration of Intestines and Urinary Bladder , Ann Surg 158:263-269 ( (Aug) ) 1963.Crossref 16. Rickham, P.P.: Rupture of Exomphalos and Gastroschisis , Arch Dis Child 38:138-141 ( (April) ) 1963.Crossref 17. McMahon, R.S.: The Treatment of Gastroschisis , Brit J Surg 51:712-713 ( (Sept) ) 1964.Crossref 18. Denes, J.; Leb, J.; and Lukacs, F.V.: Gastroschisis , Surgery 63:701-705 ( (April) ) 1968. 19. Steichen, F.M.: A Simple Method for Establishing, Maintaining and Regulating Surgically Induced Pneumoperitoneum in Preparation for Large Hernia Repairs , Surgery 58:1031-1032 ( (Dec) ) 1965. 20. Lewis, J.E.: Atlas of Infant Surgery , St. Louis: The C. V. Mosby Co., 1967. 21. Lafer, D.J.: Rectus Muscle Transection for Visceral Replacement in Gastroschisis , Surgery 63:988-990 ( (June) ) 1965. 22. Free, E.A., and Takamoto, R.: Measurement of Inferior Vena Caval Pressure at the Time of Closure of Omphaloceles, read before a meeting of the American Academy of Pediatrics, Washington, DC, October, 1967. 23. Tomkins, R.K.; Kraft, A.R.; and Zollinger, R.M: Alternate Routes of Surgical Fluid Administration , J Surg Res 8:397-403 ( (Sept) ) 1968.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Jun 1, 1969

References