advertisement

Childhood-diseases

Question
Posted by: Ayshah | 2007/08/17

Q.

Gastrokesis

Hi, can you please explain what this is about and would there be complications after the op?

Expert's Reply

A.

Paediatrician

I think you mean Gastroschisis. In gastroschisis the bowel protrudes through a defect in the baby's abdominal wall. It is not associated with other congenital abnormalities. Fluid loss is a problem at birth and care has to be taken to replace lost fluid and protein. In most cases a single operation is required to successfully repair the defect in the abdominal wall, but occasionally the opening is so large that the operation has to be done in stages.Paediatric surgeons are experts at doing this operation.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

2
user comments

C.

Posted by: bobbi | 2007/12/05

My daughter is pregnant with a baby girl who has been diagnosed with gastrokesis. Please explain more about, how complicated her pregnancy might be and the surgery following the baby's birth and her chances for a normal life. She is due on April 15, but has only gained 5 lbs. She will deliver at Columbia, so I feel she will get the best of care. How long might the baby be in IC?
Thank you for your help.

Reply to bobbi
Posted by: Tam | 2007/11/09

Hi There

Gastroschisis is a rare but treatable condition it is nothing the mother did before or during pregnancy that caused this, It is however associated with young mothers under 25 and is most likely to occur in first time mommies.
I have done alot of research on Gastroschisis, the repair, hospitalisation and long term affects as i am at present 24 weeks pregnant with a girl with gastroschisis. The word mens gastro- abdomnal and schisis-tear = abdominal tear and that is exactly what it is, Dont be scared i know it is scary when you know nothing about it, but there is help. Dr Brown at Panorama medi Clinic in Cape Town who is wonderful with these babies as he does the repair and sings while he does it to calm your baby. Baby will need to stay in hospital for about a month if all goes well meaning if baby doesnt get an infection which normally developes round day 10 after surgery and if baby is tolerating the breastmilk and gaining weight,,,then you and your little one can go home, Longterm outlook is good and most 15 year olds complain of not having a belly button so thats all and thats a good sign and apart from some children having food allergies and being a bit more sensitive to certain foods. Go onto the internet and read up, it will be scary at first i promise you and you will cry and that is normal but remember that this can be fixed its not something your child will suffer from for his or her life and this is normally not associated with any other abnormalities. I whent for a scan yesterday and my little girl is very active but she is 5 days behind in growth which is expected as the bowels are not absorbing all the nutrients. I am scheduled for an elective c-section at 34 weeks to prevent the bowels from going thick and getting more damaged by the amniotic fluid. Proffesor Brown believes that Gastroschisi babies should always be born a month early and always by c-section and always be repaired in the first hour of birth that way these babies in his experience just do better and he is busy with a study which soon will be published to change the medicine world's perception on how gastroschisis babies should be delivered and treated as there is much debate about this topic. prof Brown takes a special interest and he really is the best person to treat your baby. Anyway i wish you luck and pray for you and your baby, i hope i was of help and please e-mail me if you need to talk..Gastroschisis is rare in south africa only 40 cases at panorama and 1 at N1 City Hospital, so it would be nice to speak to someone who is going through the same experience. Be positive and remember you are your baby's voice and she/he depends on you to speak loudly on getting the best advice, facts and treatment. keep well Tam

Reply to Tam

Want to comment?

Thanks for commenting! Your comment will appear on the site shortly.
Thanks for commenting! Your comment will appear on the site shortly.