TY  - JOUR
A1  - Haghshenas, M.
A1  - Rolle, Udo
A1  - Hutter, Martin
A1  - Theilen, Till-Martin
T1  - Incidence of surgical procedures for gastrointestinal complications after abdominal wall closure in patients with gastroschisis and omphalocele
T2  - Pediatric surgery international
N2  - Purpose This study aims to define the extent of additional surgical procedures after abdominal wall closure (AWC) in patients with gastroschisis (GS) and omphalocele (OC) with special focus on gastrointestinal related operations. Methods A retrospective chart review was performed including all operations in GS and OC patients in the first year after AWC (2010–2019). The risk for surgery was calculated using the one-year cumulative incidence (CI). Results 33 GS patients (18 simple GS, 15 complex) and 24 OC patients (12 without (= OCL), 12 OC patients with liver pro-trusion (= OCL +)) were eligible for analysis. 43 secondary operations (23 in GS, 20 in OC patients) occurred after a median time of 84 days (16–824) in GS and 114.5 days (12–4368) in OC. Patients with complex versus simple GS had a significantly higher risk of undergoing a secondary operation (one-year CI 64.3% vs. 24.4%; p = 0.05). 86.5% of surgical procedures in complex GS and 36.3% in OCL + were related to gastrointestinal complications. Complex GS had a significantly higher risk for GI-related surgery than simple GS. Bowel obstruction was a risk factor for surgery in complex GS (one-year CI 35.7%). Conclusion Complex GS and OCL + patients had the highest risk of undergoing secondary operations, especially those with gastrointestinal complications
KW  - Ileus
KW  - Bowel obstruction
KW  - Parenteral nutrition
KW  - Short bowel syndrome
KW  - Trisomy 21
KW  - Beckwith–Wiedemann syndrome
Y1  - 2021
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/62590
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-625909
SN  - 1437-9813
N1  - Open Access funding enabled and organized by Projekt DEAL.
VL  - 37
PB  - Springer
CY  - Berlin ; Heidelberg
ER  -