Prenatal counselling of small bowel atresia: Watch the fluid!

Barbara D. Iacobelli, Antonio Zaccara, Ioannis Spirydakis, Claudio Giorlandino, Irma Capolupo, Antonella Nahom, Pietro Bagolan

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To evaluate polyhydramnios as a sign of extreme disproportion of atretic segments in small bowel atresia (SBA). Methods: Twenty-eight patients with a prenatal diagnosis (PD) of SBA undergoing neonatal surgical treatment were reviewed retrospectively. Parameters recorded were gestational age, birth weight, surgical procedure, rate of complications, parenteral nutrition (PN) days and length of stay (LOS). Patients were divided into two groups: Group A with delayed anastomosis and Group B with direct anastomosis. Results: Seventeen subjects were in Group A while 11 were in Group B. The two groups did not differ with regard to gestational age at diagnosis, birth weight and obstetrical management. Polyhydramnios was present in both Group A (64.7%) and Group B (9%) (p <0.05). Patients in Group A needed a longer period on PN, had a longer LOS and exhibited significantly higher rates of complication. Conclusion: In the absence of other malformations, association of dilated bowel loops and polyhydramnios is highly predictive of severe SBA, which can in no instance be amenable to one-stage reconstruction. Because of its consequences on postnatal treatment, such information should be conveyed to the prospective parents at the time of counselling.

Original languageEnglish
Pages (from-to)214-217
Number of pages4
JournalPrenatal Diagnosis
Volume26
Issue number3
DOIs
Publication statusPublished - Mar 2006

Keywords

  • Polyhydramnios
  • Prenatal diagnosis
  • Small bowel atresia

ASJC Scopus subject areas

  • Genetics(clinical)
  • Obstetrics and Gynaecology

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