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Gastroschisis – current options for prenatal diagnosis and subsequent management


Authors: Anna Jouzová 1,2 ;  Lenka Kučerová 1,2;  Romana Gerychová 1,2;  Jakub Turek 2,3 ;  Ondřej Marek 2,3;  Martin Jouza 2,4 ;  Lukáš Hruban 1,2,5
Authors‘ workplace: Gynekologicko-porodnická klinika FN Brno 1;  Lékařská fakulta, MU, Brno 2;  Klinika dětské chirurgie, ortopedie a traumatologie FN Brno 3;  Pediatrická klinika FN Brno 4;  Ústav zdravotních věd, LF MU, Brno 5
Published in: Ceska Gynekol 2025; 90(3): 247-253
Category:
doi: https://doi.org/10.48095/cccg2025247

Overview

Gastroschisis is a congenital abdominal wall defect characterized by the eventration of bowel loops through a right-sided paraumbilical opening. Prenatal detection of gastroschisis is generally straightforward due to advanced ultrasound techniques, and it is essential for optimizing both prenatal care and subsequent management. The prognosis for this condition is generally favorable, with positive long-term outcomes for most children. However, 10–15% of cases may follow a complicated course with an elevated risk of neonatal mortality or significant morbidity. Early detection enables effective monitoring of fetal development, risk assessment for potential complications, and risk minimization by planning childbirth at a tertiary center equipped with intensive neonatal care and the possibility of prompt surgical intervention.

Keywords:

Prognosis – prenatal diagnosis – ultrasound diagnosis – gastroschisis – omphalocele – abdominal wall defects


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ORCID autorů
A. Jouzová 0000-0002-1229-4283
J. Turek 0000-0002-7332-6429
M. Jouza 0000-0003-1118-6130
L. Hruban 0000-0001-8594-2678
Doručeno/Submitted: 10. 12. 2024
Přijato/Accepted: 12. 12. 2024
doc. MUDr. Lukáš Hruban, Ph.D., MBA
Gynekologicko-porodnická klinika
LF MU a FN Brno
Obilní trh 11
625 00 Brno
Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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