Surgical Complications of Simple and Complex Gastroschisis in Newborn
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Socorro Méndez-Martínez 1, Mario García-Carrasco 1, Claudia Mendoza-Pinto 1, Eugenio García-Cano 2, Álvaro José Montiel-Jarquín 2 *
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1 Mexican Institute of Social Security, Systemic Autoinmune Dissease Unit, Puebla, Mexico2 Division of Health Investigation, Medical Unit High Speciality, Hospital of Traumatology and Orthopedics of Puebla, Puebla, Mexico* Corresponding Author

Abstract

Objective:
To determine early or late post surgical complications secondary to simple and complex gastroschisis.

Methods:
The association between early (acid-base disorders, electrolyte disturbances and presence of hypoalbuminemia), and late postnatal complications (respiratory, gastrointestinal, infectious) was investigated in newborn.

Results:
42 children, 54.8% male, 73.8% premature, average gestational age of 35.6±2.5 gestational weeks of age (GWA), weight 2147±537gr, they have a NICU stay of 192±14 days, PNT of 19.2±20 days, mortality of 26.2%. The frequent immediate postoperative complications were base-acid imbalance; the metabolic acidosis was associated to simple gastroschisis (p=0.049). The complex gastroschisis was associated to necrotizing enterocolitis (p=0.025), surgical closure type (p=0.003), reinterventions (p=0.025).

Conclusion:
Acid-Base alterations (76.1%), hypoalbuminemia (59.5%) as early complications and Late sepsis (40.4%), cholestasis (26.1%) as late complications are the most common in patients with Gasthoschisis.

Keywords

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Original Article

EUR J GEN MED, Volume 13, Issue 2, April 2016, 88-93

https://doi.org/10.15197/ejgm.1495

Publication date: 06 Apr 2016

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