Dadhwal V, Kochhar S, Mittal S, Kumar S, Agarwal S, Arora V, Barua A
Department of Obstetrics & Gynecology, All India Institute of Medical Sciences, New Delhi.
Indian J Pediatr. 2001 Jan;68(1):27-30. doi: 10.1007/BF02728853.
In an audit to evaluate fetal gastrointestinal (GIT) malformations, case sheets of all mothers who gave birth to newborns with GIT malformations were analysed regarding the maternal history, prenatal ultrasound and the postnatal structural malformations and perinatal management. In 1999, eleven babies were born with gastrointestinal malformations, one was a still birth. Nine had associated malformations of other systems, two had trisomy 21. Eight babies were operated in the immediate newborn period, 5 survived. Ultrasound was not very accurate in the diagnosis of GIT anomaly in this series. In view of associated chromosomal and structural anomaly a fetal ECHO and genetic amniocentesis is warranted. Most of these babies require immediate surgery after birth, so they need to be delivered in a centre which is equipped with good neonatal and pediatric surgery care.
在一项评估胎儿胃肠道（GIT）畸形的审计中，分析了所有分娩出患有GIT畸形新生儿的母亲的病历，内容涉及孕产史、产前超声检查、产后结构畸形以及围产期管理。1999年，有11名婴儿出生时患有胃肠道畸形，其中1例为死产。9例伴有其他系统的畸形，2例患有21三体综合征。8名婴儿在新生儿期即刻接受了手术，5例存活。在该系列病例中，超声对GIT异常的诊断并不十分准确。鉴于存在相关的染色体和结构异常，有必要进行胎儿超声心动图检查和基因羊膜穿刺术。这些婴儿中的大多数在出生后需要立即进行手术，因此需要在配备有良好的新生儿和小儿外科护理的中心分娩。
