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Medium and long-term outcomes of gastroschisis

Janne Suominen1, Risto Rintala1

  • 1Department of Paediatric Surgery, Children's Hospital, University of Helsinki, P.O. Box 281, Helsinki FIN-00029 HUS, Finland.

Seminars in Pediatric Surgery
|November 11, 2018
PubMed

Insights

Improved gastroschisis survival necessitates better long-term care. Beyond gastrointestinal issues, patients face neurodevelopmental, cognitive, behavioral, and auditory challenges, requiring multidisciplinary follow-up.

Area of Science:

  • Pediatric Surgery
  • Developmental Pediatrics
  • Neonatology

Background:

  • Gastroschisis survival rates have significantly improved.
  • Longitudinal follow-up strategies are now essential.
  • Gastrointestinal morbidity is common, but other sequelae are increasingly recognized.

Purpose of the Study:

  • To highlight the need for comprehensive, multidisciplinary follow-up for gastroschisis patients.
  • To outline the key elements of effective long-term care strategies.
  • To address the expanding spectrum of gastroschisis-related morbidities.

Main Methods:

  • Review of current literature on gastroschisis outcomes.
  • Analysis of long-term sequelae beyond gastrointestinal issues.
  • Synthesis of recommendations for multidisciplinary care models.

Main Results:

  • Gastroschisis patients experience significant gastrointestinal morbidity.
  • Neurodevelopmental, cognitive, behavioral, and auditory issues are prevalent.
  • Associated anomalies and complex abdominal wall defects exacerbate outcomes.

Conclusions:

  • Multidisciplinary follow-up is crucial for optimizing long-term outcomes in gastroschisis survivors.
  • Care must address both gastrointestinal and non-gastrointestinal sequelae.
  • Standardized follow-up protocols are needed to manage complex patient needs.

Keywords:
Follow-upGastroschisisLong-termMultidisciplinaryOutcomes

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