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Gastroschisis minor
1Department of Surgery, College of Medicine, Blantyre, Malawi.
Background:
Since 1994 the author has seen a number of cases of what appear to be a minor variant of gastroschisis.
Methods:
The case files of all neonates with gastroschisis (GS) presenting to the neonatal ward of the Queen Elizabeth Central Hospital (QECH), a referral hospital in Blantyre, Malawi, from January 1995 to December 1998 were reviewed and the presentation and survival noted.
Results:
Twenty-one neonates were seen; only 2 of 15 with "normal" GS survived. The other patients had gastroschisis minor (GSM) and all left the hospital alive.
Conclusion:
In the context of the constraints and difficulties encountered in the treatment of gastroschisis in a developing country, this subgroup of patients with a more minor form of gastroschisis shows a distinct survival advantage.
