Journals / Cukurova Medical Journal / 2019 / Cilt: 44 - Sayı: 2

Evaluation of congenital anomalies accompanying to gastrointestinal system surgical pathologies

Gastrointestinal sistem cerrahi patolojilerine eşlik eden konjenital anomalilerin değerlendirilmesi

Pages
425–430
Publication Date
2019-06-30
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In addition, these patients are likely to be preterm baby.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Purpose: The aim of this study was to review accompanied congenital anomalies to gastrointestinal pathologies.
📊
Key Findings & Data:Materials and Methods: The medical records of patients who were admitted to neonatal intensive care unit with gastrointestinal system surgical pathologies during 2015-2018 were retrospectively evaluated for associated congenital anomalies.Results: 67 patients were identified during the study period.
💡
Conclusion & Impact:In addition, these patients are likely to be preterm baby.
🔬Design:Review & Systematic Survey
📍Scope:2015-2018 Verileri
⚙️Variables:newborn · gastrointestinal pathologies · newborn

Abstract

Purpose: The aim of this study was to review accompanied congenital anomalies to gastrointestinal pathologies. Materials and Methods: The medical records of patients who were admitted to neonatal intensive care unit with gastrointestinal system surgical pathologies during 2015-2018 were retrospectively evaluated for associated congenital anomalies.Results: 67 patients were identified during the study period. The most common gastrointestinal system pathology was anal atresia in 15 cases (22.4%), followed by diaphragmatic hernia in 14 cases (20.9%), esophageal atresia (n:10) and ileal atresia (n:10) (14.9%). Thirty two patients (48.8%) have had accompanied congenital anomalies to gastrointestinal system pathologies. Congenital heart disease was the most common anomaly and the most frequent one was atrial septal defect in 18 cases (26.8%). In addition, there was complex congenital heart disease in (n:13) 19.4%. In 12 patients (17.9%), accompanied extracardiac anomalies were detected. Hydronephrosis and sludge in gall bladder were detected in three patients (4.5%). Vesicoureteral reflux or ectopic kidney or polysplenia was detected as a separate anomaly in each case. In our cases, prematurity rate was found in 54%.Conclusion: Gastrointestinal system pathologies are frequently associated with multiple anomalies, especially with congenital heart diseases. In addition, these patients are likely to be preterm baby.

Özet

Amaç: Bu çalışmanın amacı gastrointestinal sistemin cerrahi patolojilerine eşlik eden konjenital anomalileri değerlendirmektir.Gereç ve Yöntem: 2015-2018 yılları arasında yenidoğan yoğun bakım ünitesine gastrointestinal sistem cerrahi patolojileri nedeniyle başvuran hastaların tıbbi kayıtları retrospektif olarak ilişkili konjenital anomaliler açısından değerlendirildi.Bulgular: Çalışma süresince 67 hasta tespit edildi. En sık rastlanan gastrointestinal sistem patolojisi 15 olguda (% 22.4) anal atrezi, bunu 14 olguda (% 20.9) diyafragma hernisi, özofagus atrezisi (n: 10) ve ileal atrezi (n: 10) (% 14.9) izledi. Otuz iki hastada (% 48.8) gastrointestinal sistem patolojilerine eşlik eden konjenital anomali saptandı. Konjenital kalp hastalığı en sık görülen anomaliydi ve en sık birliktelik 18 olguda (% 26.8) atriyal septal defekt idi. Ek olarak, (n: 13)% 19.4'ünde kompleks konjenital kalp hastalığı vardı. On iki hastaya (% 17.9) ekstrakardiyak anomaliler eşlik etmekteydi. Üç hastada (% 4.5) hidronefroz ve safra kesesi çamuru vardı. Vezikoüreteral reflü, ektopik böbrek veya polispleni, her bir olguda ayrı bir anomali olarak tespit edildi. Olgularımızın % 54’ü prematüre olarak doğmuştu.Sonuç: Gastrointestinal sistem patolojileri sıklıkla konjenital kalp hastalıkları gibi çoklu anomaliler ile ilişkilidir. Ek olarak, GIS patolojilerinin prematüre bebeklerde daha sık görülmesi muhtemeldir.

🔖

Cite This Article

KONAK, M., SERT, A., GÜNDÜZ, M., SOYLU, H., UYGUN, S. S. (2019). Evaluation of congenital anomalies accompanying to gastrointestinal system surgical pathologies. Cukurova Medical Journal, Cilt: 44 - Sayı: 2, 425–430. https://ajindex.com/articles/56427

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (17)

  1. Olgun H, Karacan M, Caner I, Oral A, Ceviz N. Congenital cardiac malformations in neonates with apparently isolated gastrointestinal malformations. Pediatr Int. 2009;51:260-2
  2. Güney LH, Araz C, Beyazpınar DS, Arda İS, Arslan EE, Hiçsönmez A. Abdominal problems in children with congenital cardiovascular abnormalitie. Balkan Med J. 2015;32:285-90
  3. Rosa RC, Rosa RF, Zen PR, Paskulin GA. Congenital heart defects and extracardiac malformations. Rev Paul Pediatr. 2013;31:243-51
  4. Chirdan LB, Uba AF, Pam SD. Intestinal atresia: management problems in a developing country. Pediatr Surg Int. 2004;20:834-7
  5. Sayan A, Arıkan A, Okay ST, Şimşek FN, Bayol Ü, Özer HN et al. Cerrahi yenidoğanlarda ek anomaliler. Çocuk Cerrahisi Dergisi. 2016;22:104-10
  6. Sarsu SB, Şahin K, Sezer S. Yenidoğanın Gastrointestinal Sistem Malformasyonları ile Birlikte Görülen Doğumsal Kalp Hastalıkları. The Journal of Pediatric Research. 2015;2:197-200
  7. Tulloh RM, Tansey SP, Parashar K, De Giovanni JV, Wright, JG, Silove ED. Echocardiographic screening in neonates undergoing surgery for selected gastrointestinal malformations. Archives of Disease in Childhood-Fetal and Neonatal Edition. 1994;70:F206-F208
  8. Chéhab G, Fakhoury H, Saliba Z, Issa Z, Faour Y, Hammoud D et al. Congenital heart disease associated with gastrointestinal malformations. J Med. Liban. 2007;55:70-4
  9. Russell LJ, Weaver DD, Bull MJ. The axial mesodermal dysplasia spectrum. Pediatrics. 1981;67:176–82
  10. Ratan SK, Rattan KN, Pandey RM, Mittal A, Magu S, Sodhi PK. Associated congenital anomalies in patients with anorectal malformations: A need for developing a uniform practical approach. J Pediatr Surg. 2004;39:1706-11
  11. Guyer B, MacDorman MF, Martin JA, Peters KD, Strobino DM. Annual summary of vital statistics 1997. Pediatrics. 1998;102:1333-49
  12. Greenwood RD, Rosenthal A, Nadas AS. Cardiovascular malformations associated with omphalocele. J. Pediatr. 1974;85:818–21
  13. Greenwood RD, Rosenthal A, Nadas AS. Cardiovascular malformations associated with imperforate anus. J. Pediatr. 1975;86:576–9
  14. Cuschieri A: EUROCAT Working Group. Anorectal anomalies associated with or as part of other anomalies. Am J Med Genet. 2002;110:122-30
  15. Stoll C, Alembik Y, Dott B et al: Omphalocele and gastroschisis and associated malformations. Am J Med Genet. 2008; 146:1280-5
  16. St-Vil D, Shaw KS, Lallier M et al: Chromosomal anomalies in newborns with omphalocele. J Pediatr Surg. 1996;31:831-4
  17. Colvin J