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Omphalocele and gastroschisis

Última revisión: 18 Jun 2025
Última actualización: 29 Apr 2022

Resumen

定义

病史和体格检查

关键诊断因素

  • maternal age <20 years (gastroschisis)
  • maternal age >35 years (omphalocele)
  • elevated maternal serum alpha-fetoprotein (gastroschisis)
  • positive prenatal ultrasound
  • fetal chromosomal abnormalities (omphalocele)
  • abdominal contents external to the abdominal wall
完整详情

危险因素

  • maternal age <20 years (gastroschisis)
  • male sex of neonate (gastroschisis)
  • maternal age >35 years (omphalocele)
  • smoking
  • maternal infection during pregnancy
完整详情

诊断性检查

首要检查

  • clinical diagnosis
完整详情

治疗流程

急症处理

gastroschisis

omphalocele

撰稿人

作者

Cynthia L. Leaphart, BA, BS, MD
Cynthia L. Leaphart

Patient Safety

University of Florida College of Medicine

Jacksonville

FL

利益声明

CLL declares that she has no competing interests.

鸣谢

Dr Cynthia L. Leaphart would like to gratefully acknowledge Dr Joseph T. Tepas, a previous contributor to this topic.

利益声明

JTT declared that he had no competing interests.

同行评议者

Lewis Spitz, MBChB, PhD, FRCS, MD, FRCPCH, FAAP, FCS

Emeritus Nuffield Professor of Paediatric Surgery

Institute of Child Health

University College

London

UK

利益声明

LS declares that he has no competing interests.

Fizan Abdullah, MD, PhD

Assistant Professor of Surgery

Division of Pediatric Surgery

Johns Hopkins University School of Medicine

Baltimore

MD

利益声明

FA declares that he has no competing interests.

Ruth Hallows, BSc, MB BS, FRCS, FRCS III (Pediatric Surgery)

Consultant in Paediatric and Neonatal Surgery

Royal Alexandra Children's Hospital

Brighton

UK

利益声明

RH declares that she has no competing interests.

Shilpi Chabra, MD

Assistant Professor

Department of Pediatrics

University of Washington Medical Center

Seattle

WA

利益声明

SC declares that he has no competing interests.

参考文献

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

关键文献

Torfs CP, Velie EM, Oechsli FW, et al. A population-based study of gastroschisis: demographic, pregnancy, and lifestyle risk factors. Teratology. 1994 Jul;50(1):44-53. 摘要

Langer JC, Harrison MR, Adzick NS, et al. Perinatal management of the fetus with an abdominal wall defect. Fetal Ther. 1987;2(4):216-21. 摘要

Glick PL, Harrison MR, Adzick NS, et al. The missing link in the pathogenesis of gastroschisis. J Pediatr Surg. 1985;20:406-9. 摘要

Snyder CL. Current management of umbilical abnormalities and related anomalies. Semin Pediatr Surg. 2007 Feb;16(1):41-9. 摘要

Sipes SL, Weiner CP, Sipes DR 2nd, et al. Gastroschisis and omphalocele: does either antenatal diagnosis or route of delivery make a difference in perinatal outcome? Obstet Gynecol. 1990 Aug;76(2):195-9. 摘要

参考文献

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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