Congenital anomalies of the gastrointestinal tract and abdominal wall [Anomalias congénitas gastrintestinais e da parede abdominal]

• Type: Another Publication in an International Scientific Journal
• Date: 2004

Authors

Rocha, G (Author) Other; Pinto, S (Author) Other; Correia Pinto, J (Author) Other; Monteiro, J (Author) Other; Guedes, MB (Author) Other; Guimarães H (Author) FMUP

Journal

Title: Nascer e Crescer

Vol. 13

Pages: 16-22

ISSN: 0872-0754

Publisher: Korean Society of Pharmacognosy

Indexing

Scopus - 0 Citations

Other information

Authenticus ID: P-007-ERB

Abstract (EN): Introduction: congenital anomalies of the gastrointestinal tract and anterior abdominal wall, a frequently observed group of diseases in neonatal intensive care units, contribute to high morbidity and mortality among newborn infants. Objectives: to characterize and estimate the contribution of these anomalies to the admission to a neonatal intensive care unit. Population and methods: a retrospective chart review was carried out in 142 newborns, presenting with congenital anomalies of the gastrointestinal tract or anterior abdominal wall, admitted to Hospital de São João Neonatal Intensive Care Unit, between 01/01/97 and 31/ 12/01. Results: a total of 106 gastrointestinal and 36 anterior abdominal wall defects were reviewed, representing 5% (142/2717) of the overall admissions and 25% (142/566) of the newborns presenting with a congenital anomaly. The anomaly was directly related to the hospitalization in 123 (87%) of the cases. Possible risk factors were identified in eight (6%) newborns and correct prenatal diagnosis was carried out in 37 (26%) pregnancies. Nine (6%) cases were associated with a chromosomal anomaly. Two syndromes, three VATER association and a sequence were identified. Mean hospitalization length was 17,6 days and nine (6%) newborns died. Conclusions: congenital anomalies of the gastrointestinal tract and anterior abdominal wall represent a group of diseases of great concern in neonatology, not only because of their frequency, morbidity and mortality rates, but also because of the complexity of some cases, imposing a multidisciplinary approach. Prenatal diagnosis is of great importance, making pregnancy interruption possible in some cases, or to direct births into a secondary or tertiary care center.

Language: Portuguese

Type (Professor's evaluation): Scientific