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[Gastroschisis in Iceland, a population study.].
Laeknabladid
|May 15, 2009
Summary
The incidence of gastroschisis is increasing in Iceland, with treatment outcomes comparable to larger centers. This study highlights a rising trend in this rare congenital abdominal wall defect.
Area of Science:
- Pediatric Surgery
- Neonatal Care
- Congenital Anomalies
Context:
- Gastroschisis is a rare congenital abdominal wall defect with unknown incidence and surgical outcomes in Iceland.
- Previous research has not established the epidemiological data for gastroschisis in Iceland.
Purpose:
- To determine the incidence of gastroschisis in Iceland.
- To evaluate treatment results and mortality rates for gastroschisis in Iceland.
- To analyze trends in gastroschisis over two distinct periods (1970-1982 and 1983-1994).
Summary:
- A retrospective study reviewed 28 cases of gastroschisis in Iceland between 1970 and 1994.
- The incidence of gastroschisis increased from 1.78 to 3.45 per 10,000 births.
- Treatment outcomes and mortality rates were comparable to international standards, with a 10.7% mortality rate, primarily in cases with associated anomalies.
Impact:
- The study indicates an increasing incidence of gastroschisis in Iceland, suggesting a potential public health concern.
- Findings align with international observations of young primiparous mothers and small-for-gestational-age infants affected by gastroschisis.
- Surgical results and mortality rates in Iceland are comparable to larger centers, demonstrating effective management of this condition.
