What is Gastroschisis?
What is Gastroschisis? Gastroschisis is a birth defect in the abdominal wall, where the baby’s intestine hangs out of the body without a protective layer through a hole near the navel. In addition to the intestines, other organs such as liver and stomach can also be outside the body.
The hole in the abdominal wall that causes the intestines or other organs hanging outside the body is usually located on the right side of the navel. The size of the hole is different in each patient.
Conditions caused by gastroschisis are almost similar to omphalocele, however, in the intestinal omfalokel and other organs hanging outside the body wrapped in thin membranes.
Symptoms and Causes of Gastroschisis
Symptoms are something that is felt and told by the patient. The symptoms that generally appear in people with gastroschisis are:
- The gut appears through the abdominal wall near the umbilical cord.
- The appearance of a lump in the abdomen.
The exact cause of gastroschisis in infants is not known until now. Some babies experience this condition because of changes that occur in their genes or chromosomes.
Some experts believe, gastroschisis due to disruption of blood supply in the arteries for the formation of the abdominal wall. This disorder occurs when the gestational age enters eight weeks.
However, gastroschisis can also occur due to a combination of several other factors such as:
- Gestational age. Fetus teenage pregnant women at greater risk of gastroschisis than older pregnant women.
- Food and beverages consumed by pregnant women.
- Consumption of alcoholic beverages and smoking. Women who consume alcoholic beverages and a smoker are at greater risk for having a fetus affected by gastroschisis.
- Drugs consumed by pregnant women.
- The influence of the environment around pregnant women.
Diagnosis is a doctor’s step to identify a disease or condition that explains the symptoms and signs experienced by the patient. Physical examination by the doctor is enough to diagnose gastroschisis.
In addition to physical examination when the baby is born, ultrasound examination while still pregnant can also detect the presence of gastroschisis. Infants affected by this disease will have difficulty in moving limbs and absorption in the intestine. Pregnant women whose fetus is gastroschisis, usually have a large amount of amniotic fluid.
Treatment and Complications of Gastroschisis
The action most doctors choose to deal with gastroschisis is emergency surgery. Infants with this disease usually require surgery more than once.
The general procedure performed during gastroschisis surgery is to re-insert the organ that is outside the abdomen, then install a bandage cloth that can press the stomach and keep the intestine fixed in the abdominal cavity, until the wound heal itself.
The body temperature of infants with gastroschisis should also be carefully controlled, because the body organs that are outside make a lot of body heat out. After surgery, infants with gastroschisis also require other treatments such as:
- Provision of nutrition through infusion.
- Provision of antibiotic drugs to prevent infection.
If gastroschisis is known before birth, then pregnant women should be specifically monitored so that the fetus with gastroschisis can be born healthy. The doctor will immediately plan a safe delivery process and prepare the type of gastroschisis treatment to be performed after the baby is born.
Some complications that can occur in infants with gastroschisis are:
- Respiratory disorders. Inclusion of organs back into the abdominal cavity is not appropriate, can make the baby difficult to develop the lungs, so the baby difficulty breathing.
- Intestinal death, this can occur when the intestinal tissue lacks blood flow or has an infection.