Sunday, February 28, 2016

Treatment 
There are many new treatment options that are being explored for the repair of Gastroschisis. The most traditional method that is being used today however is broken down like this:

  • Your baby will receive general anesthesia, which allows your baby to remain pain free throughout the procedure. 
  • The surgeon will then examine your baby's intestines (bowel) closely for signs and symptoms of damage or other birth defects. If the surgeon does find damaged parts, he will remove that section of the bowel and stitch the healthy edges together. 
  • The organs that are outside of your baby's belly will be slowly inserted back through the opening in the abdomen. 
  • If possible, the surgeon will repair the opening in the abdomen. 
This method can be performed right after the birth of your baby, however if the bowels are too big or damage from prolonged exposure to amniotic fluid the surgeon will not perform surgery for repair. If this is the case, your baby's intestines will be placed in what is called a Gastroschisis silo. This is where the exposed bowel is placed into a protective barrier, and over the course of a week or so the surgeon will guide the intestines back into the abdomen to prevent overloading the abdomen at once. 
One study found that the use of a Gastroschisis silo is the most simple, quick and effective way to place the bowel back into the abdomen. It allows for natural accommodation of the bowel into the abdominal cavity with little edema and vascular compromise and was the studies first choice in treatment of Gastroschisis (Fischer, Moores, Andrews, 1995). 

Signs/Symptoms of Complications From Gastroschisis Repair 
  • Bilious or green vomiting 
  • Bloated stomach
  • No interest in feeding 
  • Edema 
  • Vascular compromise 


Fischer, J. D., Chun, K., Moores, D. C., & Andrews, H. (1995). Gastroschisis: A simple technique for staged silo closure. Journal of Pediatric Surgery, 30(8), 1169-1171. Retrieved February 28, 2016.

Harrison, M. R. (2015, March). Gastroschisis. Retrieved February 28, 2016, from http://www.pedsurg.ucsf.edu/conditions--procedures/gastroschisis.aspx








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