Omphalocele and gastroschisis: comparison of outcome in a resource limited tertiary centre

Background. Neonates with gastroschisis are expected to have better prognosis than omphalocele as the latter is commonly associated with other congenital anomalies. But in our centre, we experience the opposite scenario regarding outcome. The aim of this study was to compare the outcome of these two...

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Autores principales:	Samiul Hasan, Ashrarur Rahman Mitul, Ayub Ali, KMN Ferdous, Umama Huq
Formato:	article
Lenguaje:	EN RU UK
Publicado:	Group of Companies Med Expert, LLC, Kyev, Ukraine 2018
Materias:	neonates omphalocele gastroschisis outcome Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/0d725a67d62b4dd18c55b1ed83715e5b
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spelling	oai:doaj.org-article:0d725a67d62b4dd18c55b1ed83715e5b2021-12-03T13:05:13ZOmphalocele and gastroschisis: comparison of outcome in a resource limited tertiary centre2304-00412521-135810.15574/PS.2018.59.32https://doaj.org/article/0d725a67d62b4dd18c55b1ed83715e5b2018-06-01T00:00:00Zhttp://psu.med-expert.com.ua/article/view/149650https://doaj.org/toc/2304-0041https://doaj.org/toc/2521-1358Background. Neonates with gastroschisis are expected to have better prognosis than omphalocele as the latter is commonly associated with other congenital anomalies. But in our centre, we experience the opposite scenario regarding outcome. The aim of this study was to compare the outcome of these two conditions and to some extent to identify the factors influencing the consequences. Methods. It was a prospective observational study done at Dhaka Shishu (Children) Hospital from June 2017 to November 2017. All neonates admitted with omphalocele and gastroschisis during the study period were included. Data were collected in a structured questionnaire. Results. Total number of cases were 38 (24 omphalocele & 14 gastroschisis). None of the patients were antenatally diagnosed. Gender, mean birth weight, mean gestational age, maternal age and mode of delivery demonstrated inconsiderable influence on the outcome. Out of 24 patients with omphalocele, in 20 patients, it was associated with other anomalies, and the other 4 patients died before evaluation. Mortality rate was significantly higher in gastroschisis (86%) than with omphalocele (42%). Conclusion. Inadequate perinatal management contributes to the poorer prognosis of gastroschisis in our centre. Antenatal diagnosis, planned delivery and appropriate management in immediate post natal period can improve the result of these conditions.Samiul HasanAshrarur Rahman MitulAyub AliKMN FerdousUmama HuqGroup of Companies Med Expert, LLC, Kyev, UkrainearticleneonatesomphalocelegastroschisisoutcomePediatricsRJ1-570SurgeryRD1-811ENRUUKХірургія дитячого віку, Iss 2(59), Pp 32-35 (2018)
institution	DOAJ
collection	DOAJ
language	EN RU UK
topic	neonates omphalocele gastroschisis outcome Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	neonates omphalocele gastroschisis outcome Pediatrics RJ1-570 Surgery RD1-811 Samiul Hasan Ashrarur Rahman Mitul Ayub Ali KMN Ferdous Umama Huq Omphalocele and gastroschisis: comparison of outcome in a resource limited tertiary centre
description	Background. Neonates with gastroschisis are expected to have better prognosis than omphalocele as the latter is commonly associated with other congenital anomalies. But in our centre, we experience the opposite scenario regarding outcome. The aim of this study was to compare the outcome of these two conditions and to some extent to identify the factors influencing the consequences. Methods. It was a prospective observational study done at Dhaka Shishu (Children) Hospital from June 2017 to November 2017. All neonates admitted with omphalocele and gastroschisis during the study period were included. Data were collected in a structured questionnaire. Results. Total number of cases were 38 (24 omphalocele & 14 gastroschisis). None of the patients were antenatally diagnosed. Gender, mean birth weight, mean gestational age, maternal age and mode of delivery demonstrated inconsiderable influence on the outcome. Out of 24 patients with omphalocele, in 20 patients, it was associated with other anomalies, and the other 4 patients died before evaluation. Mortality rate was significantly higher in gastroschisis (86%) than with omphalocele (42%). Conclusion. Inadequate perinatal management contributes to the poorer prognosis of gastroschisis in our centre. Antenatal diagnosis, planned delivery and appropriate management in immediate post natal period can improve the result of these conditions.
format	article
author	Samiul Hasan Ashrarur Rahman Mitul Ayub Ali KMN Ferdous Umama Huq
author_facet	Samiul Hasan Ashrarur Rahman Mitul Ayub Ali KMN Ferdous Umama Huq
author_sort	Samiul Hasan
title	Omphalocele and gastroschisis: comparison of outcome in a resource limited tertiary centre
title_short	Omphalocele and gastroschisis: comparison of outcome in a resource limited tertiary centre
title_full	Omphalocele and gastroschisis: comparison of outcome in a resource limited tertiary centre
title_fullStr	Omphalocele and gastroschisis: comparison of outcome in a resource limited tertiary centre
title_full_unstemmed	Omphalocele and gastroschisis: comparison of outcome in a resource limited tertiary centre
title_sort	omphalocele and gastroschisis: comparison of outcome in a resource limited tertiary centre
publisher	Group of Companies Med Expert, LLC, Kyev, Ukraine
publishDate	2018
url	https://doaj.org/article/0d725a67d62b4dd18c55b1ed83715e5b
work_keys_str_mv	AT samiulhasan omphaloceleandgastroschisiscomparisonofoutcomeinaresourcelimitedtertiarycentre AT ashrarurrahmanmitul omphaloceleandgastroschisiscomparisonofoutcomeinaresourcelimitedtertiarycentre AT ayubali omphaloceleandgastroschisiscomparisonofoutcomeinaresourcelimitedtertiarycentre AT kmnferdous omphaloceleandgastroschisiscomparisonofoutcomeinaresourcelimitedtertiarycentre AT umamahuq omphaloceleandgastroschisiscomparisonofoutcomeinaresourcelimitedtertiarycentre
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Omphalocele and gastroschisis: comparison of outcome in a resource limited tertiary centre

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