Can fetal magnetic resonance imaging aid prognosis in gastroschisis: A multicenter study.
Gastroschisis
bowel complication
fetus
magnetic resonance imaging
pregnancy
ultrasound
Journal
Prenatal diagnosis
ISSN: 1097-0223
Titre abrégé: Prenat Diagn
Pays: England
ID NLM: 8106540
Informations de publication
Date de publication:
04 2022
04 2022
Historique:
revised:
22
02
2022
received:
16
12
2021
accepted:
22
02
2022
pubmed:
1
3
2022
medline:
20
4
2022
entrez:
28
2
2022
Statut:
ppublish
Résumé
To assess the contribution and impact of fetal magnetic resonance imaging (MRI) in managing fetal gastroschisis. We conducted an observational retrospective study of gastroschisis patients at three fetal medicine centers from 2008 to 2019. The primary endpoint was the number of cases in which the MRI provided relevant information related to gastroschisis. A total of 189 patients were included, and our study group included 38 patients who underwent MRI. For the eight patients with suspected gastroschisis, MRI confirmed the diagnosis. In six cases, it provided additional relevant information (spiral turn, intestine ischemia, and bowel size discrepancy). For the 17 patients with ultrasound signs of additional gastrointestinal anomalies, MRI detected one case of unidentified complex gastroschisis on sonography. For the 13 patients undergoing routine MRI, no significant information was obtained. One termination of pregnancy and one fetoscopy were performed a few days after the MRI results. There was no subsequent follow-up or additional bowel complications to support management. Although MRI did not change the management of pregnancies complicated by fetal gastroschisis, patients presenting with fetal gastroschisis with intraabdominal bowel dilatation could benefit from MRI to allow for more precise prenatal counseling to predict postnatal intestinal complications before birth.
Types de publication
Journal Article
Multicenter Study
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
502-511Informations de copyright
© 2022 John Wiley & Sons Ltd.
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