Gastroschisis: Initial Management according to General Practitioner Competence

Authors

  • Tri M. Ibrahim Universitas Sam Ratulangi
  • Harsali Lampus Universitas Sam Ratulangi
  • Jeiny Thomas Universitas Sam Ratulangi

DOI:

https://doi.org/10.35790/msj.v3i2.39122

Abstract

Abstract: Gastroschisis is the most common congenital defect in the abdominal wall in the last 30 years.  This may be related to increased incidence of prematurity and increased survival rate of premature babies. Defects in the abdominal wall usually occur less than 4 cm, located at the junction of umbilicus and normal skin.Relatively young maternal age (<21 years), as well as habits of consuming alcohol and drugs can increase the risk of gastroschisis.Diagnosis can be confirmed at prenatal stage by using USG, and at postnatal stage. Initial treatment consists of fluid resuscitation, oxygenation, decompressed nasograstic tube (NGT), and hypothermia prevention. In conclusion, gastroschisis needs immediate treatment by prevention of hypothermia in infants, administration of fluid and oxygen, and closure of defect. The overall survival rate is quite good and the prognosis depends on the condition of the gut at birth.

Keywords: gastroschisis

 

Abstrak: Gastroschisis merupakan defek kongenital pada dinding abdomen yang paling umum ditemukan dalam 30 tahun terakhir. Hal ini mungkin terkait dengan peningkatan kejadian prema-turitas dan peningkatan kelangsungan hidup bayi prematur.Defek pada dinding abdomen terjadi biasanya kurang dari 4 cm dan terletak di antara sambungan umbilikus dan kulit normal. Usia ibu yang relatif muda (<21 tahun), kebiasaan mengonsumsi alkohol serta obat-obatan dapat mening-katkan risiko terjadinya gastroschisis. Diagnosis dapat ditegakkan saat prenatal dengan USG, dan postnatal. Penatalaksanaan awal meliputi resusitasi cairan, pemberian oksigenasi, pemasangan nasogastric tube (NGT) dekompresi, serta mencegah terjadinya hipotemia. Simpulan tulisan ini ialah gastroschisis memerlukan penanganan segera dengan melakukan pencegahan terjadinya hipotermia pada bayi, pemberian cairan, pemberian oksigenasi, dan penutupan defek. Tingkat kelangsungan hidup secara keseluruhan cukup baik dan prognosis tergantung pada kondisi usus saat lahir.

Kata kunci: gastroschisis

Author Biographies

Tri M. Ibrahim, Universitas Sam Ratulangi

Program Studi Profesi Dokter 

Fakultas Kedokteran Universitas Sam Ratulangi Manado

Harsali Lampus, Universitas Sam Ratulangi

Divisi Ilmu Bedah Anak Bagian Ilmu Bedah Fakultas kedokteran Universitas Sam Ratulangi Manado

Jeiny Thomas, Universitas Sam Ratulangi

Bagian Ilmu Bedah Fakultas kedokteran Universitas Sam Ratulangi Manado

Downloads

Additional Files

Published

2022-03-30

How to Cite

Ibrahim, T. M., Lampus, H., & Thomas, J. (2022). Gastroschisis: Initial Management according to General Practitioner Competence. Medical Scope Journal, 3(2), 165–168. https://doi.org/10.35790/msj.v3i2.39122

Issue

Vol. 3 No. 2 (2022): Medical Scope Journal

Section

Articles

License

COPYRIGHT

 

Authors who publish with this journal agree to the following terms:

Authors hold their copyright and grant this journal the privilege of first publication, with the work simultaneously licensed under a Creative Commons Attribution License that permits others to impart the work with an acknowledgment of the work's origin and initial publication by this journal.

Authors can enter into separate or additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (for example, post it to an institutional repository or publish it in a book), with an acknowledgment of its underlying publication in this journal.

Authors are permitted and encouraged to post their work online (for example, in institutional repositories or on their website) as it can lead to productive exchanges, as well as earlier and greater citation of the published work (See The Effect of Open Access).