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Title of Journal: Pediatr Surg Int

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Abbravation: Pediatric Surgery International

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Springer-Verlag

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DOI

10.1007/978-3-642-10681-1_1

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1437-9813

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Smallbowel continuity A crucial factor in determ

Authors: E Cusick R D Spicer J M Beck
Publish Date: 2013/09/10
Volume: 12, Issue: 1, Pages: 34-37
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Abstract

A retrospective analysis of a series of 63 cases of gastroschisis managed over an 11year period distinguished a single statistically significant prognostic factor There were 6 95 deaths of which 4 occurred in the 8 infants with smallbowel atresia/stenosis P 0005 Fishers exact test One died at 48 h and the remaining 3 of liver disease related to total parenteral nutrition Of the 4 survivors 1 developed a late biliary stricture necessitating hepaticoenterostomy but is alive and well aged 4 years The remaining 3 following initially prolonged hospitalisations and multiple operations are alive and well after 2 4 and 7 years In 3 patients the atresi1 was not detected at the primary operation The small number of cases of gastroschisisassociated smallbowel atresia seen in any one unit may conceal the importance of the problem and limits experience in the approach to management

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