KaydedilenlerDerginizi ekleyin

Dergiler / Turkish Journal of Pediatrics / 2021 / Cilt: 63 - Sayı: 5

Ileal atresia and severe cerebral injury after fetoscopic laser photocoagulation treatment for twin-to-twin transfusion syndrome

Ayşe ANIK
Abdullah Barış AKCAN
Münevver TÜRKMEN
İrem ÇULCAOĞLU
Ali Onur ERDEM
Sezen ÖZKISACIK
Sayfa
917–931
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Despite many developments in its management, TTTS remains an important risk factor for cerebral injury.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Twin-to-twin transfusion syndrome (TTTS) is a significant cause of perinatal morbidity and mortality.
📊
Temel Bulgular & Veri:Fetoscopic laser photocoagulation (FLP) is the optimal treatment option for twin-to-twin transfusion syndrome; but can cause central nervous system, extremity and intestinal system injury.
💡
Sonuç & Katkı:Despite many developments in its management, TTTS remains an important risk factor for cerebral injury.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Background. Twin-to-twin transfusion syndrome (TTTS) is a significant cause of perinatal morbidity and mortality. Fetoscopic laser photocoagulation (FLP) is the optimal treatment option for twin-to-twin transfusion syndrome; but can cause central nervous system, extremity and intestinal system injury. Case. We report the case report of ileal atresia and severe cerebral infarction co-occurrence after fetoscopic laser photocoagulation treatment. It is uncertain as to whether ileal atresia occurred due to ischemia associated with TTTS, the treatment with FLP, or a combination of both. Conclusions. Cases with prenatal ultrasonographic abnormalities after FLP should have a close assessment to detect bowel complications. Despite many developments in its management, TTTS remains an important risk factor for cerebral injury.

🔖

Bu Makaleye Atıf Yap

ANIK, A., AKCAN, A. B., TÜRKMEN, M., ÇULCAOĞLU, İ., ERDEM, A. O., ÖZKISACIK, S. (2021). Ileal atresia and severe cerebral injury after fetoscopic laser photocoagulation treatment for twin-to-twin transfusion syndrome. Turkish Journal of Pediatrics, Cilt: 63 - Sayı: 5, 917–931. https://ajindex.com/articles/411594

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (12)

  1. Berghella V, Kaufmann M. Natural history of twintwin transfusion syndrome. J Reprod Med 2001; 46: 480-484
  2. Slaghekke F, Lopriore E, Lewi L, et al. Fetoscopic laser coagulation of the vascular equator versus selective coagulation for twin-to-twin transfusion syndrome: an open-label randomised controlled trial. Lancet 2014; 383: 2144-2151
  3. Best KE, Tennant PW, Addor MC, et al. Epidemiology of small intestinal atresia in Europe: a register based study. Arch Dis Child Fetal Neonatal Ed 2012; 97: F353-F358
  4. Cragan JD, Martin ML, Waters GD, Khoury MJ. Increased risk of small intestinal atresia among twins in the United States. Arch Pediatr Adolesc Med 1994; 148: 733-739
  5. Schnater JM, van Zalen-Sprock RM, Schaap AH, Festen S, Aronson DC. Ileal atresia and thromboembolic liver calcifications diagnosed after treatment with intrauterine laser coagulation therapy for twinto-twin transfusion syndrome: report of 2 cases. J Pediatr Surg 2005; 40: 875-876
  6. Lopriore E, Ortibus E, Acosta-Rojas R, et al. Risk factors for neurodevelopment impairment in twintwin transfusion syndrome treated with fetoscopic laser surgery. Obstet Gynecol 2009; 113(2 Pt 1): 361-366
  7. Lopriore E, van Wezel-Meijler G, Middeldorp JM, Sueters M, Vandenbussche FP, Walther FJ. Incidence, origin, and character of cerebral injury in twin-totwin transfusion syndrome treated with fetoscopic laser surgery. Am J Obstet Gynecol 2006; 194: 1215- 1220
  8. Volpe JJ. Intracranial hemorrhage: germinal matrixintraventricular hemorrhage of the premature infant. In: Volpe JJ (ed). Neurology of the Newborn (5th ed) Chapter 11. Philadelphia: Saunders, 2008: 517-590
  9. Banek CS, Hecher K, Hackeloer BJ, Bartmann P. Long-term neurodevelopmental outcome after intrauterine laser treatment for severe twin-twin transfusion syndrome. Am J Obstet Gynecol 2003; 188: 876-880
  10. Rossi AC, D’Addario V. Laser therapy and serial amnioreduction as treatment for twin-twin transfusion syndrome: a metaanalysis and review of literature. Am J Obstet Gynecol 2008; 198: 147-152
  11. Miralles-Gutiérrez A, Narbona-Arias I, GonzálezMesa E. Neurological complications after therapy for fetal-fetal transfusion syndrome: a systematic review of the outcomes at 24 months. J Perinat Med 2018; 46: 991-997
  12. Weisz B, Hoffmann C, Ben-Baruch S, et al. Early detection by diffusion-weighted sequence magnetic resonance imaging of severe brain lesions after fetoscopic laser coagulation for twin-twin transfusion syndrome. Ultrasound