Gastroschisis Challenges North and South: Challenges in India

Nilesh Tank, M.D.
Pediatric Surgery, Smt. Rasilaben Sevantilal Shah, Venus Hospital, Ashakatashram Campus, Surat, Gujarat, India

Summary Slides: Gastroschisis Challenges North and South: India

Challenges

Challenge 1. Delayed presentation

  • Total cases: 19 (2017-2018)
  • Antenatal diagnosis: 3 fetuses
    • Higher center delivery: 2 babies
    • Peripheral center delivery: 1 baby
  • Average time at presentation: 14 hours (60 minutes to 26 hours)
  • Survival: 3/19 (84%)

Solution

  • Fetal screening for malformation, multidisciplinary team approach

Challenge 2. Availability of Silo

Challenge 3. Total parenteral nutrition

Challenge 4. Sepsis (raised CRP and PROCALCITONIN)

  • Dehydration
  • Need of higher antibiotics
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