A lot has changed in the field of medicine over time due to technological advances as well as increased understanding of anatomy and physiology. This also holds true for a condition known as Gastroschisis, where advances have been made in detecting and treating the condition. As a result, what was once a death sentence has become a treatable condition. Gastroschisis is an abdominal wall defect that was first described in the early 16th century. At the time it was often confused with another defect by the name of Omphalocele; it was not until 1953 that Moore and Strokes made the distinction and properly define Gastroschisis as a 1-2 cm defect of the anterior abdominal wall, usually at the umbilical cord insertion (Raković, M., Danelisen, …show more content…
Over time the baby’s bowels can become distended and exposed to the amniotic fluid which can cause irritation (GASTROSCHISIS, 2016, P.2). Due to the concerns, testing and monitoring are highly recommended so it can inform the doctors the health of the baby (GASTROSCHISIS, 2016, P.2). Around 32 weeks, doctors usually begin antenatal testing once or twice a week (GASTROSCHISIS, 2016, P.2). Babies diagnosed with Gastroschisis are usually underweight compared to a healthy normal baby. During the third trimester complications can arise relatively such as poor growth, fetal distress, and possibly a preterm caesarean section (GASTROSCHISIS, 2016, P.2). Early caesarean section can avoid fetal deaths and increase the chances of proper nutrition and growth (GASTROSCHISIS, 2016, P.2).
Surgical Treatment
The surgical part of Gastroschisis is something that has been refined by the advancement in modern medicine, whether that be technological advances or our understanding of anatomy and physiology. The scope or time in surgery is usually dependent on the amount of bowel outside of the infant’s body, if the bowel is relatively small, surgeons will insert it in and close the opening. However, “if the baby has a large amount of bowel outside the body, several surgeries may be needed.
Surgical
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Although the advancement in medicine and technology makes it possible and tolerable. Immediately after surgery some babies require the aid of a breathing machine for support. It is important to understand that the act of returning the bowels to their proper place does not amount to them instantly functioning the way it was meant. As a result the baby is unable to consume food in the normal process, to overcome this the baby will receive nutrition through an IV (GASTROSCHISIS, 2016, P.3). Doctors will also drain the baby of waste products due to the bowels not functioning properly, and the baby’s inability to process waste (GASTROSCHISIS, 2016, P.2). Once the waste being removed from the body becomes clear this is an indication that bowel movements have begun and the baby can start small incremental feeds (GASTROSCHISIS, 2016, P.3). This process can be daunting as it potentially has many setbacks. Doctors recommend and it is beneficial if human milk is given as an early feeding to the baby because their stomach and bowels are still sensitive (GASTROSCHISIS, 2016, P.3). Also, there are many reasons why breastfeeding is the best choice. It can fight against infections, diseases, and chronic conditions and infants are more likely to successfully consume the mother’s breast milk without rejecting
There seem to be an increasing application of Roen-en-Y gastric bypass today by some surgeons. This is a restrictive procedure that has minimal mal-absorption issues and it makes part of an array of bariatric surgeries. However, the most commonly used procedure is biliopancreatic diversion or Scopinaro, which have been used for more than two decades and are popular in with many surgeons more so in the developing countries. This process is intended to inhibit absorption of fat in a bid to trigger massive weight loss in patients who are morbidly obese. It restricts gastric thereby diverting bile and pancreatic fluids to the distal ileum (Consensus Development Conference Panel, 1991). This procedure therefore exposes a limited area of small bowel for the absorption of nutrients that need biliary and pancreatic fluids. The procedure and its variations are still common as indicated above including; biliopancreatic diversion with duodenal switch, which also result in malabsorption. It is however noted that most patients who undergo this procedure also experience severe protein and fat related malabsorption problems.
A malrotation of the gut occurs when something goes wrong during development the small intestine (gut or small bowel). When this occurs, the small intestine is not fixed in the abdomen (belly). The intestines are held by just their blood supply. When the intestines become twisted, because they are not fastened down, it cuts off their blood supply. It is much like a hose getting kinked. This loss of blood supply leads to damage to the gut. This condition is also called volvulus.
A pair of U.S. surgeons has developed a new bariatric procedure, a modi䐣ጀed version of a duodenal switch, which may be
Based on the Current Science Inc. the occurrences of the pseudo-obstruction is because of continues dilation of the right colon and abdominal distension. The syndrome is very rare, but the complication occurrence is high for patients who undergo the major surgical procedure and those that have taken serious medication. Because of its rarity, experts find it difficult to record the exact prevalence, only an estimate of approximately 0.10% for patients who underwent surgery, only 0.05 for patients with trauma, and only 0.3% for patients who suffered from critical burns. It is also more common for the elderly men patients (Tack, J. 2006).
Inclusion criteria were small or moderate size, non-bleeding gastric varices with few mucosal risky signs of bleeding, spleenorenal or gastrorenal shunts by doppler ultrasonography. Cases
When considering disorders of the musculoskeletal and gastrointestinal system, I initially thought to choose a disorder from the text book. However, often we become focused on the obvious and fail to look past the typical. Sometimes, disorders that present with symptoms of these two systems are actually harboring something much more than mere symptoms.
Unfortunately, for the young man, the accumulation continued for years leading to the ‘birth’ of faeces weighing 12kg. The expanded colon called ‘mega colon’ is one of the complications of Hirschsprung’s disease. Some of the other complications include:
Patients with other abdominal anomalies may have an increased risk for intestinal atresia. For example, children with gastroschisis may also have intestinal atresia, and they should be examined for it (Bauman & Nanagas, 2015). The authors described a case of a neonatal child who was immediately diagnosed and treated for gastroschisis. However, the patient never had a bowel movement after surgical correction. By the fourth week without a bowel movement, an exploratory laparotomy was performed, and the child was diagnosed with intestinal atresia. Unfortunately, about 8 centimeters of small bowel was resected due to ill-appearance, but bowel to bowel anastomosis was performed. Interestingly, the patient still did not have a bowel movement, and
In the course of recent years we have made incredible advances in the analysis of colon and rectal ailment. On the off chance that you are mature enough you may review or knew about people experiencing an inflexible extension exam in the specialists facility called an unbending sigmoidoscopy. This study uncovered just the last 1/3 of the colon and totally missed injuries in most of the colon. In spite of the fact that it was exceptionally simple it served us well for a long time.
The Gastric Emptying Study is a procedure that measures the speed that food leaves your stomach.The study help patient that have symptoms that may be do to less common emptying of the stomach.The main symptoms for slow emptying are nausea, vomiting,and abdominal pain. The main symptoms for faster emptying are diarrhea,weakness or pigheadedness after eating. The study is performed when the patient eats a meal with radioactive material in it. The meal consisted of a solid and a liquid.Then a scanner is put over the stomach to monitor radioactivity. As the amount of radioactivity decreases it show how fast the food left your system.To be eligible for this study you must not take and medication or drugs 48-72 hour
Originally, the British Surgeon William Ogilvie was the first to describe the Ogilvie Syndrome, during 1948, and it is obvious where it gets its name. It is also known as the Acute Colon Pseudo-Obstruction (ACPO). This disease is not the same case of chronic intestinal pseudo-obstruction, but it is a rare disorder of a colonic distention without the presence of a mechanical obstruction. It is also known as the result of ischemia complications with a high mortality rate of more than 40%, the problem is that this British Surgeon found it difficult to identify the exact pathogenesis of the disease (Cameron & Cameron, 2014).
Open fetal surgery, in particular, remains constrained by the ever-threatened morbidity of premature rupture of membranes and pre-term delivery associated with this approach.5 As with any fetal procedure there is an inherent risk of preterm delivery, premature rupture of
It is recommended that the patient eat small and frequent meals, find ways to cope with their stress, avoid drinking alcohol and milk, and substitute NSAIDs for a different pain reliever. The patient may also require dietary supplementation with iron and vitamin B12 to make up for these nutritional deficiencies caused by their gastritis. They should also make sure that all the food they consume is completely cooked to avoid contracting bacterial infection. Asymptomatic patients do not require these dietary adjustments; pharmacological therapy with antacids, acid reducers, and antibiotics (if condition was brought on by H. pylori infection) can be initiated to improve the patient’s
To ease the transition through this turbulent period, the newborn needs to be provided with easily digestible and bioavailable nutrition in the form of breast milk or infant formula. The infant depends on a diet of closely regulated composition and does not achieve nutritional independence until weaning.
GAVE was initially reported by Ryder et al in 1953 and described as erosive gastritis with numerous capillaries. " monteroa,2012 " In 1984, Jabbari et al named it 's classic endoscopic appearance as water melon stomach.