Caracterización de los pacientes, tratamiento y complicaciones más frecuentes de los recién nacidos con gastrosquisis y onfalocele manejados en la Unidad de Recién Nacidos del Hospital Universitario San Ignacio. Experiencia de 10 años

Introduction: Abdominal wall defects are rare, diagnosis and management of these patients
should be optimized, identifying the most frequent clinical features. Objective: To characterize the population of patients with gastroschisis and omphalocele treated at the Hospital Universitario San Ignacio (HUSI) over the past 10 years. Methods: All patient records were reviewed for wall defects and treatment at the Neonatal Intensive Care Unit (NICU) of HUSI between 2004 and 2014. Frequencies for the most important findings were estimated. Results: 29 patients, 18 patients with gastroschisis (62%) and 11 with omphalocele (38%) were evaluated. Association with other malformations was present in 20 patients (68.9%) and 5 cases of patients with chromosomal abnormalities were found in the omphalocele population (17.2%). All patients with gastroschisis and 37% of children with omphalocele received surgical management; 55% omphalocele patient received medical management and 8% combined management. The average fasting time was 11.8 days and parenteral nutrition was given during 19.8 days. No association with maternal consumption of psychoactive substances was found. Conclusion: The wall defects were a rare condition that require special handling at the NICU of HUSI during the years 2004-2014 29 patients were treated, the characteristics and evolution of our population was similar to that reported in Latin American literature although the duration of fasting and total parenteral nutrition was lower. No association with maternal consumption of psychoactive substances was found.