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European reference network for rare inherited congenital anomalies (ERNICA) evidence based guideline on the management of gastroschisis.

Carmen Mesas BurgosWillemijn IrvineAlexandre VivantiPeter ConnerEgle MachtejevieneNina PetersJoan SabriaAna Sanchez TorresCostanza TognonAlberto SgróAntti KouvisaloHester Langeveld-BendersRony SfeirMarc MiserezNils QvistAusra Lokosiute-UrbonieneKatrin ZahnJulia BrendelJordi PratSimon EatonAlexandra Benachi
Published in: Orphanet journal of rare diseases (2024)
The panel suggests vaginal birth between 37 and 39 w in cases of uncomplicated gastroschisis. Bianchi's approach is an option in simple gastroschisis. Sutureless closure is suggested when general anesthesia can be avoided, sutured closure. If anesthesia is required. Silo treatment without ventilation and general anesthesia can be considered. In CG with atresia primary intestinal repair can be attempted if the condition of patient and intestine allows. Enteral feeds for simple gastroschisis should start within 14 days.
Keyphrases
  • intensive care unit
  • gestational age
  • respiratory failure
  • pregnant women
  • combination therapy