ABSTRACT
OBJECTIVES: To identify factors associated with poor prognoses in newborns with a prenatal diagnosis of gastroschisis in eight hospitals in Bogota, Colombia, from 2011 to 2022. METHODS: A multi-center retrospective case-control study was conducted on newborns with gastroschisis in eight hospitals in Bogota, Colombia. Poor prognosis was defined as the presence of sepsis, intestinal complications, or death. RESULTS: The study included 101 patients. Preterm newborns under 32 weeks had a poor neonatal prognosis (OR 6.78 95â¯% CI 0.75-319). Oligohydramnios (OR 4.95 95â¯% CI 1.15-21.32) and staged closure with silo (OR 3.48; 95â¯% CI 1.10-10.96) were risk factors for neonatal death, and intra-abdominal bowel dilation of 20-25â¯mm was a factor for the development of intestinal complications (OR 3.22 95â¯% CI 1.26-8.23). CONCLUSIONS: Intra-abdominal bowel dilation between 20 and 25â¯mm was associated with intestinal complications, while oligohydramnios was associated with the risk of perinatal death, requiring increased antenatal surveillance of fetal wellbeing. Management with primary reduction when technically feasible is recommended in these infants, considering that the use of silos was associated with higher mortality.
Subject(s)
Gastroschisis , Humans , Infant, Newborn , Colombia/epidemiology , Gastroschisis/diagnosis , Gastroschisis/diagnostic imaging , Gastroschisis/epidemiology , Gastroschisis/mortality , Female , Retrospective Studies , Pregnancy , Case-Control Studies , Prognosis , Male , Risk Factors , Oligohydramnios/epidemiology , Oligohydramnios/diagnosis , Ultrasonography, Prenatal , Adult , Infant, PrematureABSTRACT
Los tumores pancreáticos de Frantz son una patología infrecuente, aún de patogénesis incierta, con una población blanco predominantemente de mujeres jóvenes. Su grado de malignidad es bajo y con la resección completa se tiene muy buena sobrevida. El propósito del presente artículo es analizar de forma retrospectiva dos casos que por sus dificultades diagnósticas aportan mucho acerca de la aproximación a esta patología, y de su importancia en el diagnóstico diferencial de las masas abdominales en niños, que de manejarse con los procedimientos quirúrgicos adecuados, permite a los pacientes una evolución y un pronóstico favorables...
Frantz pancreatic tumors are an infrequent pathology, histogenesis remain controversial, they occur predominantly in young women and because of their low-grade malignant potential, complete resection means good survival. The aim of this review is to present a retrospective analysis of two cases, which, because of their diagnostic difficulties can teach a lot in the evaluation process of this pathology and of its importance in the abdominal tumors differential diagnosis in children, which, when well managed with the adequate surgical method, allows the patients an excellent recovery and prognosis...
Os tumors dos pancreáticos de Frantz é um pathology infrequënte, destilador do patogénesis incerto, com uma população branca predominantly de mulheres novas. Seu grau de malignidad é baixo e com resección completo o sobrelife muito bom é tido. A intenção do artigo atual é analisar dos casos retrospective do formulário dois que por suas dificuldades que você diagnostica contribua muito sobre a aproximação a este pathology, aquele ao punho próprio com os procedimentos cirúrgicos adaptados, permita aos pacientes uma evolução favorável e um prognosis...
