Karger Publishers, Neonatology, 1(105), p. 5-8, 2013
DOI: 10.1159/000351038
Full text: Unavailable
<b><i>Background:</i></b> Gastroschisis can be associated with short bowel syndrome (SBS). We present 4 cases with significant bowel shortening with very different ante- and postnatal presentations. <b><i>Cases:</i></b> Three of the cases demonstrated ‘vanishing' gastroschisis with progressively worsening antenatal intra-abdominal bowel dilatation with no defect present at birth. The fourth case followed an uneventful course antenatally but developed SBS considered secondary to gastroschisis-related atresia and necrosis. All 4 cases were classified as having SBS and were enrolled within the paediatric Intestinal Rehabilitation Programme. This involves autologous gastrointestinal reconstruction following a period of bowel expansion with concomitant parenteral and enteral nutrition. <b><i>Discussion:</i></b> These cases demonstrate that the serious complication of significant bowel loss cannot always be anticipated. Early multidisciplinary discussion with the parents enables a shared understanding of potential outcomes. It can aid the recognition of ‘vanishing' gastroschisis enabling expedient investigations and early intervention, minimising morbidity and maximising bowel length.