摘要:

The types of obstructive lesions of the gastrointestinal tract which can be diagnosed before birth are briefly reviewed. The importance of obtaining a karyotype in certain lesions (such as duodenal atresia) is stressed. The usefulness of the antenatal diagnosis of such lesions in planning obstetric management is stressed.

ISSN:1015-3837    

DOI:10.1159/000262244

出版商:S. Karger AG    

年代:1986

数据来源: Karger

摘要:

The role of early diagnosis on the short-term prognosis of 55 infants with gastrointestinal tract malformations admitted to three neonatal intensive care units is reviewed. In this series antenatal diagnosis does not appear associated with better prognosis. The severity of the disorder and the association with other malformations are the most important determinants of outcome.

ISSN:1015-3837    

DOI:10.1159/000262245

出版商:S. Karger AG    

年代:1986

数据来源: Karger

摘要:

This report deals only with anomalies, treated after prenatal diagnosis, with which we have experience. Other malformations have been intentionally excluded. The neonatal management of duodenal atresia and jejunoileal atresia is briefly outlined. Our early results in 7 cases treated after antenatal diagnosis are compared with 81 cases treated without the benefit of antenatal diagnosis. Antenatal diagnosis appears to improve the outcome in these patients.

ISSN:1015-3837    

DOI:10.1159/000262246

出版商:S. Karger AG    

年代:1986

数据来源: Karger

摘要:

The antenatal diagnosis of omphalocele and gastroschisis is briefly reviewed, together with the major differences between the two lesions. The frequency of associated anomalies in cases of omphalocele is stressed. The controversy regarding the mode and timing of delivery is outlined.

ISSN:1015-3837    

DOI:10.1159/000262247

出版商:S. Karger AG    

年代:1986

数据来源: Karger

摘要:

The advantages accruing from the prenatal diagnosis of gastroschisis and omphalocele are outlined. The surgical management of each defect is discussed, including details of the various surgical options available at the time of the repair. Seventy-five cases with abdominal wall defects born between 1970 and 1984 without an antenatal diagnosis having been made are compared with 8 recent cases in whom an antenatal diagnosis was made. The early results suggest that antenatal diagnosis improves survival.

ISSN:1015-3837    

DOI:10.1159/000262248

出版商:S. Karger AG    

年代:1986

数据来源: Karger

摘要:

Ninety cases of genitourinary tract anomalies diagnosed before birth are reviewed. Factors stressed are the relationship between the site of the anomaly and the time of the diagnosis. Low level urinary tract obstructions tend to be diagnosed early, high level lesions late. Overall, the diagnostic accuracy was 88% with urethral obstruction being most often accurately diagnosed (19 of 20 cases). The frequency with which associated anomalies are found is stressed as is the lack of correlation between amniotic fluid volume and high or mid level obstructions. Ovarian cysts are usually diagnosed late in gestation and are seldom associated with other anomalies.

ISSN:1015-3837    

DOI:10.1159/000262249

出版商:S. Karger AG    

年代:1986

数据来源: Karger

摘要:

The author’s personal series of 23 cases of genitourinary tract anomalies is presented. The management of each lesion is briefly discussed. The importance of recognizing uniformly fatal lesions and allowing termination (or at least avoiding an unnecessary cesarean section) is stressed. Most lesions of the genital tract can safely await delivery before any intervention is require

ISSN:1015-3837    

DOI:10.1159/000262250

出版商:S. Karger AG    

年代:1986

数据来源: Karger

摘要:

The results of a multicentric survey in the Emilia-Romagna area from 1978 to 1984 are given. During the first week of life, 103,484 babies were examined. Anomalies were detected in 1,914 babies, 326 of which had genitourinary malformations. There were 214 cases of hypospadias with a history of exposure to progestogens for threatened abortion, intrauterine growth retardation and early maternal menarche. Ninety-one cases of urinary tract malformations were found and in 66 babies this was the only anomaly. Until 1983 antenatal ultrasound examinations detected only 25% of urinary tract anomalies. In 1984 this figure climbed to 70%.

ISSN:1015-3837    

DOI:10.1159/000262251

出版商:S. Karger AG    

年代:1986

数据来源: Karger

摘要:

This paper is based on our experience in managing 79 cases of genitourinary tract anomalies diagnosed in utero and treated after birth. These babies seldom present as emergencies, and the antenatal diagnosis can usually be confirmed in the first few days of life. The surgical correction of these babies requires the services of a surgeon skilled and experienced in neonatal surgery. Surgeons experienced only in adult surgery may find these procedures technically difficult. Magnification is recommended. Postoperatively careful attention to fluid and electrolyte balance and correct functioning of drainage tubes is stressed. Antibiotic prophylaxis is vital, as is long-term follow-up.

ISSN:1015-3837    

DOI:10.1159/000262252

出版商:S. Karger AG    

年代:1986

数据来源: Karger

摘要:

The sites of obstruction found during development are reviewed: high (ureteropelvic junction), mid (ureterovesical junction) and low (posterior urethral valves). Diagnostic evaluation of the fetal urinary tract is reviewed. The management of obstructive uropathies is briefly outlined and centres around the level of the lesion and whether the obstruction is unilateral or bileteral. Antenatal intervention is indicated whenever the function of both kidneys is threatened. The amount of amniotic fluid remains a good guide to renal function. The role of fetal urinary electrolytes as a prognostic indicator is not yet clarified.

ISSN:1015-3837    

DOI:10.1159/000262253

出版商:S. Karger AG    

年代:1986

数据来源: Karger