P08.11: Correlation between prenatal ultrasound measurements and newborn outcome in the free loop of the small bowel in gastroschisis. Part II 2008–2010

Abstract

Gastrochisis is an abdominal wall anterior defect that involved extrusion of fetal intestines. Occur in 0.13 to 1.4 per 10.000 live births. Review from the ultrasound literature report small bowel diameter over 11 mm to predict adverse neonatal outcome. This study want to add to our 12 gastrosquisis in the last study 8 new more between 2008–2010 to correlated our findings. Data's from 8 fetuses that had gastroschisis. Ultrasound report was made by taking measurements of the free loop in the small bowel (length and the anteroposterior diameter) and 3D images. All studies were performed using an 3700 ALOKA ultrasound system. Data's were analyze in computer statically program (excel 2007). The mean of the length in the free loop was 46 mm the low value was 20 mm and the maximum value of the free loop was 60 mm. The mean of the anteroposterior diameter was 16 mm. The low value was 13.7 mm and the maximum value of the free loop in the anteroposterior diameter was 20 mm. Mean fetal weigh 2315 grams. Mean gestational age to delivery 35 weeks. Thirty seven point five of the newborn had complications 37.5% (obstruction, appendicitis). Mean overall length stay of intensive unit care was 17 days. Measurement of the free loop in the small bowel is a good marker to prevent ischemia (60 mm per 16 mm). Preterm delivery gives better outcome to the newborn with Gastroschisis after 34 weeks and the mean overall length stay in the intensive unit care if half in comparison with the last report. We need more data's to see the best gestational age to delivery fetus with gastroschisis without complications.