Gastroschisis is a congenital condition that involves an opening in the baby’s abdominal wall, through which the intestines can protrude outside the body.

Surgery is needed to correct this condition.

The exact cause of gastroschisis is not well understood, but it is believed to be linked to a combination of genetic and environmental factors.

The condition occurs early in pregnancy as the abdominal wall develops.

Risk factors may include young maternal age and lifestyle factors, but each case can be unique.

Treatment typically occurs shortly after birth.

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Screenings and diagnosis

Gastroschisis is typically diagnosed through prenatal screenings, such as ultrasound examinations, which can visualize the abdominal wall defect.

Elevated levels of alpha-fetoprotein (AFP) in maternal blood tests can also indicate the potential presence of the condition.

Early detection is crucial for preparing the necessary medical care.

World-class care, close to home

Our pediatric surgeons at WashU Medicine see patients at St. Louis Children’s Hospital, one of the top hospitals in the nation, according to U.S. News & World Report.

Types of treatment

Treatment for gastroschisis almost always involves surgical intervention.

The primary goal is to repair the defect and return the protruding organs to the abdominal cavity.

The timing and method of the surgery depend on the baby’s health and the extent of the condition.

Surgical care

Immediate surgical repair, known as primary closure, occurs after birth if the baby’s condition allows.

In some cases, a staged repair may be necessary, where the organs are gradually returned to the abdomen over several days. This method, called a silo procedure, involves placing the intestines in a protective pouch that is incrementally tightened.

Medication

Medications play a crucial role in post-surgical care. Antibiotics may be administered to prevent infections, and pain management is essential for the infant’s comfort during recovery.

Pediatric surgeons at WashU Medicine


Potential complications

Complications can include infections, intestinal damage, and difficulties with feeding and digestion.

Additionally, placing the organs back into the cavity can cause breathing difficulties.

The infant may require a breathing tube and ventilator for a few days or weeks until the swelling goes down and the size of the abdomen has increased.

Recovery

After the surgical repair of gastroschisis, the baby will require specialized care to monitor their development and health. This includes regular follow-ups with pediatric surgeons and gastroenterologists, nutritional support to ensure proper growth, and physical therapy if needed.

Parental education and support are also essential components to empower families in managing their child’s health.