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Prenatal counselling of small bowel atresia: watch the fluid!
- Source :
-
Prenatal diagnosis [Prenat Diagn] 2006 Mar; Vol. 26 (3), pp. 214-7. - Publication Year :
- 2006
-
Abstract
- Objective: To evaluate polyhydramnios as a sign of extreme disproportion of atretic segments in small bowel atresia (SBA).<br />Methods: Twenty-eight patients with a prenatal diagnosis (PD) of SBA undergoing neonatal surgical treatment were reviewed retrospectively. Parameters recorded were gestational age, birth weight, surgical procedure, rate of complications, parenteral nutrition (PN) days and length of stay (LOS). Patients were divided into two groups: Group A with delayed anastomosis and Group B with direct anastomosis.<br />Results: Seventeen subjects were in Group A while 11 were in Group B. The two groups did not differ with regard to gestational age at diagnosis, birth weight and obstetrical management. Polyhydramnios was present in both Group A (64.7%) and Group B (9%) (p < 0.05). Patients in Group A needed a longer period on PN, had a longer LOS and exhibited significantly higher rates of complication.<br />Conclusion: In the absence of other malformations, association of dilated bowel loops and polyhydramnios is highly predictive of severe SBA, which can in no instance be amenable to one-stage reconstruction. Because of its consequences on postnatal treatment, such information should be conveyed to the prospective parents at the time of counselling.<br /> (2006 John Wiley & Sons, Ltd.)
- Subjects :
- Counseling
Female
Humans
Infant, Newborn
Intestinal Atresia surgery
Intestine, Small diagnostic imaging
Length of Stay
Parenteral Nutrition
Pregnancy
Prognosis
Retrospective Studies
Fetal Diseases diagnostic imaging
Intestinal Atresia diagnostic imaging
Intestine, Small abnormalities
Polyhydramnios diagnostic imaging
Ultrasonography, Prenatal
Subjects
Details
- Language :
- English
- ISSN :
- 0197-3851
- Volume :
- 26
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Prenatal diagnosis
- Publication Type :
- Academic Journal
- Accession number :
- 16470577
- Full Text :
- https://doi.org/10.1002/pd.1381