SURVIVAL RATE IN GASTROSCHISIS

• Initial reports that bowel wall thickening and dilatation are associated with poor clinical outcome (1) is no longer true. Numerous reports of good postnatal outcome associated with significant bowel dilatation has been reported (2-4).
• 87%-100% after surgery.

Reference	Dilatation criteria used	Dilatation correlated with morbidity
2	>10 mm	Maybe
1	Not stated	Yes
3	>20 mm	No
5	>17 mm	Yes
6	>17mm	Yes
7	>17 mm	No
4	>11 mm	Yes
8	>17 mm	No

REFERENCES

1. Bond SJ, Harrison MR, Filly RA et.al. Severity of intestinal damage in gastroschisis. J Pediatr Surg 1988;23:520.
2. Lenke RR, Persutte WH, Nemes J. Ultrasonographic assessment of intestinal damage in fetuses with gastroschisis: Is it of any clinical value. Am J Obstet Gynecol 1990;163:995.
3. Sipes SL, Weiner CP, Williamson RA et.al. Fetal gastroschisis complicated by bowel dilatation: An indication for imminent delivery? Fetal Diagn Ther 1990;5:100.
4. Babcock CJ, Hedrick MH, Goldstein RB et.al. Gastroschisis: Can sonography of fetal bowel accurately predicy poor outcome. J Ultrasound Med 1994;13:701-706.
5. Langer JC, Khanna J, Caco C et.al. Prenatal diagnosis of gastroschisis: development of onjective sonographic criteria for predicting outcome. Obatet gynecol 1993;81:53-56.
6. Pryde PG, Bardicef M, Treadwell MC et.al. Gastroschisis: can antenatal ultrasound predict postnatal outcome. J Ultrasound Med 1994;13:701-706.
7. Alsulyman OM, Monteiro H, Ouzounran JG et.al. Clinical significance of prenatal ultrasonographic intestinal dilatation in fetuses with gastroschisis. Am J Obstet Gynecol 1996;175:982-984.
8. Japaraj RP, Hockey R, Chan FY. Gastroschisis: can prenatal sonography predict normal neonatal outcome. Ultrasound Obstet Gynecol 2003;21:329-333.