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Related Experiment Videos

Echogenic dilated bowel loops before 21 weeks' gestation: a new entity

A Grignon1, J Dubois, M C Ouellet

  • 1Department of Radiology, Hôpital Sainte-Justine, Montréal, Québec, Canada.

AJR. American Journal of Roentgenology
|March 1, 1997
PubMed
Summary

Echogenic dilated bowel loops (EDBL) detected before 21 weeks gestation indicate a good prognosis for isolated cases, but complex cases depend on associated abnormalities.

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Area of Science:

  • Perinatology
  • Fetal Medicine
  • Medical Imaging

Background:

  • Echogenic dilated bowel loops (EDBL) are a sonographic finding in fetal development.
  • Understanding the implications of EDBL detected early in gestation is crucial for perinatal management.

Purpose of the Study:

  • To determine the birth outcomes for fetuses diagnosed with EDBL before 21 weeks of gestation.
  • To differentiate prognosis based on isolated versus complex EDBL.

Main Methods:

  • Retrospective analysis of 45 cases with EDBL.
  • Sonographic criteria: dilated bowel with echogenic wall.
  • Classification: isolated vs. complex, local vs. diffuse.

Main Results:

  • Isolated EDBL resolved in 90% of cases with normal outcomes.

Related Experiment Videos

  • Complex EDBL cases had significant associated abnormalities (gastroschisis, VATER), with a 38% live birth rate.
  • Low disaccharidase activity noted in 77% of tested cases; no cystic fibrosis found.

    • Conclusions:

    • EDBL is likely a transient obstruction.
    • Isolated EDBL carries a favorable prognosis.
    • Outcomes for complex EDBL are dictated by the severity of co-occurring anomalies.