Gastroschisis Child

Overview

Definition

Gastroschisis is a birth defect that is a gap in the muscles and skin of the abdominal wall. Intestines and other abdominal organs can push through the gap to the outside of the body.

Normal Anatomy of the Abdominal Organs
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Causes

The cause is not well understood. It may be caused by exposure to toxins in the mother.

Risk Factors

Gastroschisis is more common in babies born to teenage mothers. Other things that may raise the risk in the a pregnant mother are:

  • Smoking
  • Drug use
  • Certain medicines
  • Urinary tract infection or sexually transmitted infectionh (STI)
  • Being around toxins

SymptomsandDiagnosis

Symptoms

Intestines will be seen outside of the body, often to the right of the belly button.

Diagnosis

Gastroschisis may be suspected after blood tests in the mother. A fetal ultrasound will show if there are intestines outside of the abdominal wall. Early diagnosis will help guide birth and treatment plans. If it is not found before birth, then it will be found as soon as the child is born.

Pictures may taken after the baby is born. This can be done with ultrasound.

Treatments

Treatment

Talk with the doctor about the best plan for your baby. Your baby may need:

Medication

The intestines are often harmed. Your baby may have problems with digestion and need care. Medicines are:

  • Dextrose and electrolyte solutions for nutrition and hydration
  • Antibiotics if an infection is present or possible

Surgery

The goal of surgery is to put the intestine and other organs back in place, and close wall. The type of surgery will depend on the extent of the gastroschisis..

Large defects may need many surgeries over a long period of time.

Prevention

Gastroschisos can’t be prevented because the cause isn’t clear.

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

Edits to original content made by Denver Health.

RESOURCES

Centers for Disease Control and Prevention http://www.cdc.gov 

March of Dimes http://www.marchofdimes.org 

CANADIAN RESOURCES

March of Dimes Canada http://www.marchofdimes.ca 

Public Health Agency of Canada http://www.phac-aspc.gc.ca 

References

Birth defects: diagnosis. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/ncbddd/birthdefects/diagnosis.html. Updated October 20, 2014. Accessed July 2, 2018.

Facts about gastroschisis. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/ncbddd/birthdefects/gastroschisis.html. Updated June 27, 2017. Accessed July 2, 2018.

Gastroschisis. EBSCO DynaMed Plus website. Available at:  http://www.dynamed.com/topics/dmp~AN~T113716/Gastroschisis . Updated December 1, 2016. Accessed July 2, 2018.

Feldkamp ML, Reefhuis J, Kucik J, et al. Case-control study of self-reported genitourinary infections and the risk of gastroschisis: Findings from the national birth defects prevention study 1997-2003. BMJ. 2008;336(7658):1420-1423.

Gamba P, Midrio P. Abdominal wall defects: prenatal diagnosis, newborn management, and long-term outcomes. Semin Pediatr Surg. 2014 Oct;23(5):283-90..

Skarsgard ED. Management of gastroschisis. Curr Opin Pediatr. 2016 Jun;28(3):363-369.