Incidence, Diagnostic and Surgical Approach of Gastroschisis in the Hospital Civil de Guadalajara Fray Antonio Alcalde

Abstract

Guillermo Yanowsky Reyes, Sofia Carolina Arechiga-Altamirano, Norma A Quezada Figueroa, Jaime Orozco Perez, Rafael Santana Ortiz Arnulfo Zuniga Moran, Fernando Duque Zepeda, Carlos, Andres Colunga Tinajero, Jose Carlos Calderon Chiman

Objective: To review the incidence of cases of gastroschisis in the Hospital Civil Fray Antonio Alcalde and to analyze possible environmental and genetic causes.

Methods: Data obtain from hospital registries from 2017-2018 were used to obtain the frequency of cases. Maternal age, associated anomalies, clinical outcomes and prenatal exposure to teratogens were obtained from medial registries.

Results: There were around 4500 births per year from 2018. A total of 12 neonates with gastroschisis were admitted from June 2017 to July 2018, the incidence rate was x The mortality was of 5%. We only had access to 10 medical records. The mean maternal age was 18.7 years (15-22 years). From these, 70% were primiparous, had a history of alcohol use and of tobacco in four of them. Thirty percent of the newborns were preterm with a mean gestational age of 37 wks (32-40 wks). Major and minor malformations were associated in 10% of cases.

Conclusion: Incidence of gastroschisis has been raising at the Hospital Civil Fray Antonio Alcalde in Guadalajara, Mexico associated to an increase in pregnancies in teenagers. Chromosomal aberrations found have not been reported previously.

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