The Analysis of the Fetal Abdominal Wall and Gastrointestinal Tract Abnormalities in a Single Tertiary Center
OBJECTIVE: We aimed to evaluate the fetuses with gastrointestinal anomalies and anterior abdominal wall defects detected in the prenatal period in our clinic and to analyze their perinatal outcomes. STUDY DESIGN: This retrospective study analyzed the data of 67 cases evaluated by the perinatology...
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Medical Network
2024-12-01
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| Series: | Gynecology Obstetrics & Reproductive Medicine |
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| Online Access: | https://gorm.com.tr/index.php/GORM/article/view/1530 |
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| author | Gokhan Bolluk Suleyman Cemil Oglak Merih Cetinkaya Isil Turan Bakirci Oyhan Demirali Mehmet Cok Handan Turhan Karakus Yasin Onur Emine Zeynep Yilmaz |
| author_facet | Gokhan Bolluk Suleyman Cemil Oglak Merih Cetinkaya Isil Turan Bakirci Oyhan Demirali Mehmet Cok Handan Turhan Karakus Yasin Onur Emine Zeynep Yilmaz |
| author_sort | Gokhan Bolluk |
| collection | DOAJ |
| description |
OBJECTIVE: We aimed to evaluate the fetuses with gastrointestinal anomalies and anterior abdominal wall defects detected in the prenatal period in our clinic and to analyze their perinatal outcomes.
STUDY DESIGN: This retrospective study analyzed the data of 67 cases evaluated by the perinatology department of the Basaksehir Cam and Sakura City Hospital between January 2021 and May 2023 with a diagnosis of fetal anterior abdominal wall and gastrointestinal tract abnormalities.
RESULTS: A total of 67 cases were included in our study with a mean maternal age of 26.4 ± 3.1 years and a median gestational week of first assessment at our center of 22 weeks (12-39 weeks). The most common anterior abdominal wall malformations were omphalocele (n=29, 43.3%) and gastroschisis (6 cases, 9.0%), and the most common fetal gastrointestinal tract anomalies were duodenal atresia (n=10, 14.9%), dilated bowel (n=5, 7.4%), and intestinal atresia (n=4, 5.9%). While genetic testing was carried out in 18 cases (27%), chromosomal abnormality was found in 6 (9.0%) cases. Termination of pregnancy was performed in 6 cases (9.0%). Postnatally, surgery was performed in 49 cases (73.1%) with a diagnosis of postpartum omphalocele, duodenal atresia, gastroschisis, intestinal and anal atresia. An uneventful surgical course was recorded for 47 cases that underwent surgery.
CONCLUSION: The most common abdominal wall defects are omphalocele and gastroschisis, and the most frequent gastrointestinal anomalies are small bowel abnormalities (duodenal atresia, dilated bowel, intestinal atresia) in our study cohort. These abnormalities might be an isolated anomaly or part of a syndrome or associated with chromosomal abnormalities. The prognosis for infants with gastrointestinal malformation depends on the presence of associated anomalies or karyotype anomalies.
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| format | Article |
| id | doaj-art-461533c0b4664c50bdecc1f5aded4167 |
| institution | Kabale University |
| issn | 1300-4751 2602-4918 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Medical Network |
| record_format | Article |
| series | Gynecology Obstetrics & Reproductive Medicine |
| spelling | doaj-art-461533c0b4664c50bdecc1f5aded41672025-02-11T21:18:59ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182024-12-0130310.21613/GORM.2023.1530The Analysis of the Fetal Abdominal Wall and Gastrointestinal Tract Abnormalities in a Single Tertiary CenterGokhan Bolluk0Suleyman Cemil Oglak1Merih Cetinkaya2Isil Turan Bakirci3Oyhan Demirali4Mehmet Cok5Handan Turhan Karakus6Yasin Onur7Emine Zeynep Yilmaz8Department of Perinatology, Başakşehir Çam and Sakura City Hospital, Istanbul, TurkeyUniversity of Health Sciences, Diyarbakır Gazi Yaşargil Training and Research Hospital, Department of Obstetrics and GynecologyDepartment of Neonatology, Başakşehir Çam and Sakura City Hospital, Istanbul, TurkeyDepartment of Perinatology, Başakşehir Çam and Sakura City Hospital, Istanbul, TurkeyDepartment of Pediatric Surgeon, Health Sciences University, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, TurkeyDepartment of Obstetrics and Gynecology, Başakşehir Çam and Sakura City Hospital, Istanbul, TurkeyDepartment of Obstetrics and Gynecology, Başakşehir Çam and Sakura City Hospital, Istanbul, TurkeyDepartment of Obstetrics and Gynecology, Başakşehir Çam and Sakura City Hospital, Istanbul, TurkeyDepartment of Obstetrics and Gynecology, Bahçelievler Memorial Hospital, Istanbul, Turkey OBJECTIVE: We aimed to evaluate the fetuses with gastrointestinal anomalies and anterior abdominal wall defects detected in the prenatal period in our clinic and to analyze their perinatal outcomes. STUDY DESIGN: This retrospective study analyzed the data of 67 cases evaluated by the perinatology department of the Basaksehir Cam and Sakura City Hospital between January 2021 and May 2023 with a diagnosis of fetal anterior abdominal wall and gastrointestinal tract abnormalities. RESULTS: A total of 67 cases were included in our study with a mean maternal age of 26.4 ± 3.1 years and a median gestational week of first assessment at our center of 22 weeks (12-39 weeks). The most common anterior abdominal wall malformations were omphalocele (n=29, 43.3%) and gastroschisis (6 cases, 9.0%), and the most common fetal gastrointestinal tract anomalies were duodenal atresia (n=10, 14.9%), dilated bowel (n=5, 7.4%), and intestinal atresia (n=4, 5.9%). While genetic testing was carried out in 18 cases (27%), chromosomal abnormality was found in 6 (9.0%) cases. Termination of pregnancy was performed in 6 cases (9.0%). Postnatally, surgery was performed in 49 cases (73.1%) with a diagnosis of postpartum omphalocele, duodenal atresia, gastroschisis, intestinal and anal atresia. An uneventful surgical course was recorded for 47 cases that underwent surgery. CONCLUSION: The most common abdominal wall defects are omphalocele and gastroschisis, and the most frequent gastrointestinal anomalies are small bowel abnormalities (duodenal atresia, dilated bowel, intestinal atresia) in our study cohort. These abnormalities might be an isolated anomaly or part of a syndrome or associated with chromosomal abnormalities. The prognosis for infants with gastrointestinal malformation depends on the presence of associated anomalies or karyotype anomalies. https://gorm.com.tr/index.php/GORM/article/view/1530Abdominal wall defectsGastrointestinal tract abnormalitiesPrenatal ultrasound |
| spellingShingle | Gokhan Bolluk Suleyman Cemil Oglak Merih Cetinkaya Isil Turan Bakirci Oyhan Demirali Mehmet Cok Handan Turhan Karakus Yasin Onur Emine Zeynep Yilmaz The Analysis of the Fetal Abdominal Wall and Gastrointestinal Tract Abnormalities in a Single Tertiary Center Gynecology Obstetrics & Reproductive Medicine Abdominal wall defects Gastrointestinal tract abnormalities Prenatal ultrasound |
| title | The Analysis of the Fetal Abdominal Wall and Gastrointestinal Tract Abnormalities in a Single Tertiary Center |
| title_full | The Analysis of the Fetal Abdominal Wall and Gastrointestinal Tract Abnormalities in a Single Tertiary Center |
| title_fullStr | The Analysis of the Fetal Abdominal Wall and Gastrointestinal Tract Abnormalities in a Single Tertiary Center |
| title_full_unstemmed | The Analysis of the Fetal Abdominal Wall and Gastrointestinal Tract Abnormalities in a Single Tertiary Center |
| title_short | The Analysis of the Fetal Abdominal Wall and Gastrointestinal Tract Abnormalities in a Single Tertiary Center |
| title_sort | analysis of the fetal abdominal wall and gastrointestinal tract abnormalities in a single tertiary center |
| topic | Abdominal wall defects Gastrointestinal tract abnormalities Prenatal ultrasound |
| url | https://gorm.com.tr/index.php/GORM/article/view/1530 |
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