Gastroschisis | |
---|---|
CDC illustration of a baby with gastroschisis | |
Pronunciation | |
Specialty | General surgery, medical genetics |
Symptoms | Intestines extend outside of the body through a hole next to the belly button[1] |
Complications | Feeding problems, prematurity, intrauterine growth restriction[2][3] |
Usual onset | During early development[2] |
Causes | Unknown[2] |
Risk factors | Mother who smokes, drinks alcohol, or is younger than 20[3][2] |
Diagnostic method | Ultrasound during pregnancy, based on symptom at birth[2] |
Differential diagnosis | Omphalocele, prune belly syndrome[3][4] |
Treatment | Early surgery[2] |
Frequency | 4 per 10,000 births[3] |
Gastroschisis is a birth defect in which the baby's intestines extend outside of the abdomen through a hole next to the belly button.[1] The size of the hole is variable, and other organs including the stomach and liver may also occur outside the baby's body.[2] Complications may include feeding problems, prematurity, intestinal atresia, and intrauterine growth restriction.[2][3]
The cause is typically unknown.[3][2] Rates are higher in babies born to mothers who smoke, drink alcohol, or are younger than 20 years old.[3][2] Ultrasounds during pregnancy may make the diagnosis.[2] Otherwise, diagnosis occurs at birth.[2] It differs from omphalocele in that there is no covering membrane over the intestines.[3]
Treatment involves surgery.[2] This typically occurs shortly after birth.[2] In those with large defects, the exposed organs may be covered with a special material and slowly moved back into the abdomen.[2] This condition affects about 4 per 10,000 newborns.[3] Rates of the condition appear to be increasing.[2]