Patient´s Characterization Treatment, and Most Frequent Complications in Newborns with Gastroschisis and Omphalocele Managed in the Neonatal Unit from the Hospital Universitario San Ignacio, Bogotá, Colombia. 10 Years of Experience
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Abdominal wall defects are rare,
diagnosis and management of these patients
should be optimized, identifying the most frequent clinical features. Objective: To characterize the population of patients with gastroschisis
and omphalocele treated at the Hospital Universitario San Ignacio (HUSI) over the past
10 years. Methods: All patient records were
reviewed for wall defects and treatment at
the Neonatal Intensive Care Unit (NICU) of
HUSI between 2004 and 2014. Frequencies
for the most important findings were estimated. Results: 29 patients, 18 patients with gastroschisis (62%) and 11 with omphalocele (38%)
were evaluated. Association with other malformations was present in 20 patients (68.9%) and
5 cases of patients with chromosomal abnormalities were found in the omphalocele population
(17.2%). All patients with gastroschisis and 37%
of children with omphalocele received surgical
management; 55% omphalocele patient received
medical management and 8% combined management. The average fasting time was 11.8 days
and parenteral nutrition was given during 19.8
days. No association with maternal consumption of psychoactive substances was found.
Conclusion: The wall defects were a rare condition that require special handling at the NICU
of HUSI during the years 2004-2014 29 patients
were treated, the characteristics and evolution of
our population was similar to that reported in Latin American literature although the duration of
fasting and total parenteral nutrition was lower.
No association with maternal consumption of
psychoactive substances was found.
gastroschisis, omphalocele, infant.gastrosquisis, onfalocele, recién nacido.
Correa F, Melibosky F. Prevalencia de defectos
de la pared abdominal al nacer. Rev
Chil Pediatr [internet]. 2006;77(5):481-
6. Disponible en: http://www.scielo.
cl/scielo.php?script=sci_arttext&pid
=S0370-41062006000500005
2. Baltaxe E, Zarante I. Prevalencia de
malformaciones cardíacas congénitas en 44.985 nacimientos en Colombia. Arch
Cardiol Mex. 2006;76:263-8.
3. Weir E. Congenital abdominal wall defects.
Can Med Assoc J. 2003;169:809-
10.
4. Zarante I, Franco L, López C, Fernández
N. Frecuencia de malformaciones congénitas:
evaluación y pronóstico de 52.744
nacimientos en 3 ciudades Colombianas.
Biomedica. 2010;30:65-71.
5. Martínez Pérez O, Tarjuelo Amor A,
Antolín Alvarado E, de la Fuente V, Ortiz
Quintana L. Diagnóstico de la gastrosquisis
mediante ecografía 3D. Acta
Ginecológica: Revista de Ginecología,
Obstetricia y Reproducción Humana.
2005;62(3):74-5.
6. Peña Cedeño A, Alonso Uría R, Ballesté
López I, Sotolongo Falero A. Defectos de
la pared abdominal. Rev Cubana Pediatr
[internet]. 2004;6(1). Disponible en: http://
scielo.sld.cu/scielo.php?script=sci_arttex
t&pid=S0034-75312004000100003
7. Muñoz P. Defectos de pared anterior del
abdomen: diagnóstico prenatal y seguimiento.
Rev Chil Ultrasonog. 2006;9:
72-9.
8. Weir E. Congenital abdominal wall defects.
Can Med Assoc J. 2003;169:
809-10.
9. Gómez-Alcalá A, Jiménez-Muñoz J, Rodríguez-
Rodríguez A, Ríos-Félix A, et al.
Cirugía neonatal inmediata: experiencia
inicial en el tratamiento de gastrosquisis
y onfalocele en el noreste de México.
Gac Med Mex. 2002;138(6):511-8.
10. Aizenfisz S, Dauger S, Gondon E, Saizou
C, De Lagausie P, Luton D, Aigrain Y,
Beaufils F. Gastroschisis and omphalocele:
retrospective study of initial postoperative management in the ICU. Eur J
Pediatr Surg. 2006;16 84-9.
11. Ledbetter DJ. Gastroschisis and omphalocele.
Surg Clin North Am. 2006;
86(2):249-60.
12. Larsen W. Embriología humana. 23ª edi.
Madrid: Elsevier Science; 2003.
13. Fernández Calderón C, Zorrillo Presas
LA, Landa García RA, Lavalle Villalobos
A, Flores Nava G. Onfalocele
y gastrosquisis: cuatro años de experiencia.
Rev Mex Pediatr [internet].
2007;74(5):208-11. Disponible en: http://
new.medigraphic.com/cgi-bin/resumen.
cgi?IDARTICULO=13686
14. Defagó V, PautNazer J, Cifuentes L,
Aguilar A. Defectos de la pared abdominal.
Estudio Comparativo entre onfalocele
y gastrosquisis. Rev Chil Pediatr.
2013;84(4):403-8.
15. Torf CP, Velie EM, Oeschli FW, Bateson
TF, Curry CJR. A population based study
of gastroschisis: demographic, pregnancy
& lifestyle risk factors. 1994;54:84-92.
16. Hema C, Sangeeta A. Giant omphalocele
an isolated congenital anomaly containing
bowel loops: a rare case report. J
Dental Medical Sciences. 2012;1(2):1-2.
doi: 10.9790/0853-0120102.
17. Kilbride KE, Cooney DR, Custer MD.
Vacuum-assited closure: a new method
for treating patients with giant omphalocele.
J Pediatr Surg. 2006;41:212-5.