Starting on:
Aug 13, 2025
Ending on:
Aug 13, 2025
Moderator(s):
Venue:
KUTRRH
Max Credits:
3 Points
Provider:
Kenyatta University Teaching and Referral Hospital
Claim Points
Aug 13, 2025
Ending on:
Aug 13, 2025
Moderator(s):
KUTRRH
Max Credits:
3 Points
Provider:
Kenyatta University Teaching and Referral Hospital
Claim Points
Gastroschisis
Starting on:
Aug 13, 2025
Aug 13, 2025
Ending on:
Aug 13, 2025
Aug 13, 2025
Venue:
KUTRRH
KUTRRH
Description
INTRODUCTION Definition: Herniation of intra-abdominal viscera (All or Portion of midgut and rarely Stomach, urinary bladder and in female – Fallopian tubes and ovaries) into the amniotic sac occurring in utero through an anterior abdominal wall defect. History - 1st success surgery – 1943 by Watkins. - 1967 – Schuster et al – described staged reduction. - Use of Parenteral nutrition in the late 60s. - Survival rate now is >90% ( In Kenya and Sub-Saharan Africa – 33% to 48% averaging 45%)
Objectives
ANTENATAL MANAGEMENT
95% of the cases are detected prenatally.
Usually detected in the early 2nd trimester – earlier could be physiologic.
* Persistent herniation of intestinal loops to the right of midline without an overlying sac is diagnostic.
NB: Ruptured omphalocele can masquerade – but usually larger defect and contains liver.
High maternal serum AFP – though non-specific.
Amniocentesis for karyotyping is not encouraged.
Other associations:
- Intra-abdominal bowel dilatation (IABD) and intestinal atresia
- Polyhydramnios and intestinal atresia
- Gastric dilatation and neonatal death
- IUGR with Gastroschisis and IUFD.
NB: Extra-abdominal bowel dilatation (EABD), bowel wall thickening, and small for gestational age (SGA) is not predictive for complexity.
Presenters
-
Dr.
Dennis Omondi
Dr.