Congenital duodenal obstruction: does prenatal diagnosis improve the outcome?

Página do item simplificado
dc.contributor.authorBittencourt, D. G.
dc.contributor.authorBarini, R.
dc.contributor.authorMarba, S.
dc.contributor.authorSbragia, L.
dc.contributor.institutionUniversidade Estadual de Campinas (UNICAMP)
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T12:37:17Z
dc.date.available2016-01-24T12:37:17Z
dc.date.issued2004-08-01
dc.description.abstractPrenatal diagnosis of congenital duodenal obstruction (CDO) provides information about associated anomalies; helps plan the delivery, resuscitation, and neonatal surgery; and allows for appropriate family counseling. This report compares the outcomes of two groups of newborns: one with prenatal diagnosis of CDO (group I) and the other without (group II). Charts of the 23 newborns with CDO admitted to the Hospital of UNICAMP between 1993 and 2001 were retrospectively reviewed. Ten (44%) newborns had prenatal diagnosis of CDO. Among group I patients, the postnatal diagnosis was confirmed on the 1st day of life, whereas patients without prenatal diagnosis (group II) had the diagnosis of CDO confirmed at a mean age of 5.7 days (p=0.004). the mean ages at surgery, at total oral feeding, and at hospital discharge were also statistically lower among infants with prenatal diagnosis, and more complications occurred in group II patients. the earlier care could explain the statistically lower morbidity for patients with prenatal diagnosis, since they were able to undergo further investigation and surgical repair before any impairment to their clinical status could take place. We believe that prenatal diagnosis of CDO, associated with earlier surgery and adequate postoperative support, can provide lower morbidity, decrease the hospitalization period, and, therefore, decrease its costs to the state and to society.en
dc.description.affiliationCampinas State Univ, UNICAMP, Sch Med Sci, Dept Surg,Div Pediat Surg, BR-13276080 Campinas, SP, Brazil
dc.description.affiliationCampinas State Univ, UNICAMP, Dept Obstet & Gynecol, Div Fetal Med, BR-13276080 Campinas, SP, Brazil
dc.description.affiliationCampinas State Univ, UNICAMP, Dept Pediat, Div Neonatol, BR-13276080 Campinas, SP, Brazil
dc.description.sourceWeb of Science
dc.format.extent582-585
dc.identifierhttp://dx.doi.org/10.1007/s00383-004-1235-2
dc.identifier.citationPediatric Surgery International. New York: Springer, v. 20, n. 8, p. 582-585, 2004.
dc.identifier.doi10.1007/s00383-004-1235-2
dc.identifier.issn0179-0358
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/27849
dc.identifier.wosWOS:000224584000005
dc.language.isoeng
dc.publisherSpringer
dc.relation.ispartofPediatric Surgery International
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.licensehttp://www.springer.com/open+access/authors+rights?SGWID=0-176704-12-683201-0
dc.subjectcongenitalen
dc.subjectduodenal obstructionen
dc.subjectprenatal diagnosisen
dc.subjectpolyhydramniosen
dc.subjectoutcomeen
dc.titleCongenital duodenal obstruction: does prenatal diagnosis improve the outcome?en
dc.typeinfo:eu-repo/semantics/article
Arquivos
Coleções
Em verificação - Geral