Gastroschisis
Everything in the library about gastroschisis — built automatically from the recorded discussions that name it
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Fundamentals
2 items
Omphalocele and Gastroschisis With Dr. Foong-Yen Lim
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Omphalocele and Gastroschisis are abdominal wall defects that develop in-utero and surgically treated post-birth. Join Dr. Foong-Yen Lim, Surgical Director of the Cincinnati Children’s Fetal Care Center, and Dr. Todd Ponsky to discuss the p
podcast9:31 · Feb 2022
Omphalocele & Gastroschisis
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Abdominal wall defects like omphalocele and gastroschisis can lead to potentially complex postnatal care which is why today we are going to discuss some key knowledge points from Dr. Foong-Yen Lim: pediatric surgeon at Cincinnati Children’s
video9:32 · Mar 2022
Acute Management
1 item
Gastroschisis: Advanced Practice Providers
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Joyce Slusher, MSN, CNP, presents on perioperative management of gastroschisis for advanced practice providers.
video43:21 · Jan 2019
Nutritional Management
2 items
Intestinal Failure - Feeding Access and Nutrition
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Dr. Michael Helmrath discusses alternative feeding techniques for intestinal failure, distal feeding, button insertion illustration, anastomosis, dilated bowel segments, small bowel length significance, liver disease, international patient
video118:06 · Nov 2018
Update Course 2022 - UPDATES IN GASTROSCHISIS FEEDING PROTOCOLS - Jason Fraser, Beth Rymeski, and Steven Lee
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In this session we discuss protocols for feeding gastroschisis patients with Drs. Jason Fraser, Beth Rymeski, and Steven Lee.
Articles discussed:
Minimizing Variance in Gastroschisis Management Leads to Earlier Full Feeds in Delayed C
video21:09 · Sep 2022
Surgical Management
5 items
Staged Closure of Gastroschisis with Spring-loaded Silo
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This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pedia
video27:29 · Feb 2020
Staged Closure of Gastroschisis with Spring-loaded Silo
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This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pedia
video27:11 · Feb 2020
Sutureless Closure of Gastroschisis - APSA Practice Gaps 2019
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At the 7th Annual Pediatric Surgery Update Course, Dr. Saleem Islam discusses sutureless closure of gastroschisis, one of the 2019 practice gaps identified by the American Pediatric Surgical Association’s Professional Development Committee.
video21:04 · Mar 2020
Umbilical Cord Defects with Dr. Kenneth Azarow
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This podcast discusses the work up and management of umbilical cord defects. Dr. Todd A. Ponsky is an associate professor of surgery and pediatrics and pediatric surgeon at Akron Children's Hospital. Dr. Kenneth S. Azarow is surgeon-in-chie
podcast30:16 · Dec 2020
Gastroschisis and sutureless abdominal wall closure
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Dr. Rod Gerardo and Dr. Todd Ponsky talk to Dr. Jason Fraser about the paradigm shift in gastroschisis management that is still in flux. Plus a deep dive into Dr. Fraser's recent publication: "Sutureless vs sutured abdominal wall closure fo
podcast12:17 · Jan 2021
Complications
1 item
Error Traps and Culture of Safety in Abdominal Wall Defects
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This video highlights a few key points from the "Error Traps and Culture of Safety in Abdominal Wall Defects" article published in Seminars in Pediatric Surgery, provided by lead author Dr. Sherif Emil . Find the full article at: www.scienc
video · Oct 2019
Evidence & Research
10 items
91% Decrease in Mortality with Gastroschisis Bundle!
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By adopting a gastroschisis bundle protocol, a group from Hospital Infantil de México Federico Gomez was able to reduce their mortality from 22% to just 2%! Congratulations to Cristian Zalles-Vidal, Jaime Nieto-Zermeño, and the other author
video3:12 · Dec 2018
Immediate vs Silo Closure for Gastroschisis
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Dr. Ponsky reviews his takeaways from the JPS article, “Immediate Versus Silo Closure for Gastroschisis: Results of a Large Multicenter Study.”Link to full article: https://gcmd.co/2PItKT3
video0:26 · Dec 2019
Journal of Pediatric Surgery Article Review: January 2022 APSA Issue
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We're back with the January issue of JPS article highlights. This time we're talking to editor Dr. Cassandra Kelleher and authors Drs. Gail Besner, Shahrazad Joharifard and Sarah Stokes with Dr. Todd Ponsky. Hosts: Ellen Encisco, Em Tombash
podcast13:09 · Feb 2022
Update Course Rewind: 2022 Top Ten Key Takeaways
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The 10th annual Pediatric Surgery Update Course was held as a webinar on August 30, 2022. We had a lot of lively discussion and engaging presentations on the latest updates in pediatric surgery. In this video we are reviewing the top ten ke
video · Jun 2023
Quick Literature Updates Episode 11
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We’re back with eleventh episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. This episode, we will review three articles covering the mo
video · Jul 2023
Journal of Pediatric Surgery Article Review: 2nd Quarter (Apr-Jun) 2024
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We are back with another episode of our Journal of Pediatric Surgery article review podcast. This time we have three publications from the second quarter of 2024, April, May, and June issues. This time we're talking to editors Drs. Mary Bri
podcast17:03 · Sep 2024
Journal of Pediatric Surgery Article Review: 3rd Quarter (Jul-Sep) 2024
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We are back with another episode of our Journal of Pediatric Surgery article review podcast. This time we have three publications from the third quarter of 2024, July, August and September issues. This time we're talking to editors Drs. Col
podcast19:28 · Oct 2024
Management of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations
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Mark B Slidell, Jarod McAteer, Doug Miniati, Stig Sømme, Derek Wakeman, Kristy Rialon, Don Lucas, Alana Beres, Henry Chang, Brian Englum, Akemi Kawaguchi, Katherine Gonzalez, Elizabeth Speck, Gustavo Villalona, Afif Kulaylat, Rebecca Rentea
video0:55 · Jan 2025
Quick Literature Updates Episode 16
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We’re back with sixteenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most inte
video4:21 · Jan 2025
Quick Literature Updates Ep 22
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We’re back with 22nd episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesti
video4:23 · Oct 2025
Case-Based Learning
2 items
Abdominal Wall Defects
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Dr. Jacob Langer discusses various abdominal wall defects through case presentation.Topics of discussion include atresia, gastroschisis, fascial defects, staged closure by silo, and ruptured omphalocele.
video37:50 · Nov 2018
Abdominal Wall Defects: Update Course 2013
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Dr. Jacob Langer discusses various abdominal wall defects through case presentation.Topics of discussion include atresia, gastroschisis, fascial defects, staged closure by silo, and ruptured omphalocele.
video37:40 · Jan 2019
In-Depth Reviews
2 items
Abdominal Wall Defects with Dr. Jacob Langer
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Dr Jacob Langer discusses abdominal wall defects with Dr. Todd Ponsky.Edited by Ian C. Glenn, MD and Sophia Abdulhai, MDAn interactive discussion about gastroschisis and omphalocele between Todd Ponsky, MD and Jacob "Jack" Langer, MD. Dr. L
podcast52:45 · Jan 2019
Abdominal Wall Defects with Dr. Jacob Langer
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Dr Jacob Langer discusses abdominal wall defects with Dr. Todd Ponsky.Edited by Ian C. Glenn, MD and Sophia Abdulhai, MDAn interactive discussion about gastroschisis and omphalocele between Todd Ponsky, MD and Jacob "Jack" Langer, MD. Dr. L
podcast52:45 · Dec 2020
Patient & Family Education
1 item
What is Gastroschisis? An ERNICA animation for parents and families
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Animation video [in English]. Target audience: Parents and families. The video could also be used as an explanatory tool by healthcare professionals.
For further details about this condition, possible complications and specialised care,
video2:59 · Dec 2023
Long-Term Care
1 item
Educational Outcomes in School-Aged Children With a History of Simple and Complex Gastroschisis are Poor Compared to Controls
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Osamuyi Asemota, Gabrielle Derraugh, Matthew Levesque, Anna C Shawyer, Suyin A Lum Min, Richard Keijzer
Background: Research on long-term cognitive outcomes of children with gastroschisis is limited and inconsistent. This study aimed to
video0:53 · Apr 2025
Summaries and takeaways+ Show
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All expert statements+ Show
Every expert statement below comes from the recorded discussions, with its speaker and moment.
Abdominal Wall Defects with Dr. Jacob Langer
The frequency and incidence of abdominal wall defects appears to be increasing
host_summary0:00 ↗
With gastroschisis, the main issue is that the bowel gets damaged through fetal life
clinicalJack Langer4:36 ↗
Most gastroschisis patients don't have any other associated anomalies, and it's pretty rare to have abnormal chromosomes
clinicalJack Langer4:46 ↗
Early papers showed a benefit to cesarean section in gastroschisis, but cesarean sections were usually done early at 36 or 37 weeks, raising the question of whether timing rather than cesarean section itself gave the benefit
clinicalJack Langer5:46 ↗
Many studies have failed to show an advantage to cesarean section, and most people nowadays would not do routine cesarean section for gastroschisis
clinicalJack Langer6:13 ↗
There has not been any large randomized trial looking specifically at the issue of early delivery in gastroschisis
clinicalJack Langer6:29 ↗
Toronto's approach is to deliver gastroschisis patients at around 37 weeks unless they've already gone into spontaneous labor
clinicalJack Langer6:58 ↗
The mean gestational age of onset of labor is a lot earlier in gastroschisis pregnancies, possibly because of inflammatory mediators produced by the inflamed bowel
clinicalJack Langer7:07 ↗
In gastroschisis pregnancies, labor can usually be successfully induced at 37 weeks, unlike regular pregnancies
clinicalJack Langer7:30 ↗
Most evidence, including from the CapsNet database, suggests that delivery in a perinatal center is beneficial for gastroschisis
clinicalJack Langer8:36 ↗
During transport of gastroschisis patients, it's important for the baby to be nursed on his or her side, usually right side down, to prevent kinking of the mesentery and ischemia of the bowel
clinicalJack Langer10:01 ↗
For gastroschisis, bedside closure is the first choice if the bowel is not too thickened and there's not too much peel
clinicalJack Langer10:57 ↗
Adrian Bianchi first described bedside closure for gastroschisis
clinicalJack Langer11:21 ↗
Using forceps at the bedside to push bowel back in can damage the bowel in a squiggling baby
clinicalJack Langer11:29 ↗
The current approach uses pre-formed silos, slowly pushing on them with fentanyl or morphine sedation in an awake baby, aiming to keep intraabdominal pressure below 20
clinicalJack Langer11:47 ↗
If reduction is successful with good pressure and perfusion, the silo can be removed immediately and the umbilical cord stump used to cover the hole with a Duoderm dressing left for about 5 days
clinicalJack Langer12:27 ↗
The sutureless plastic closure technique was described by Anthony Sandler and doesn't require suturing the umbilical cord
host_summaryTodd Ponsky13:15 ↗
A study by Dr. Baird published in JPS showed that patients with flap closure did better in every way than those with sutured fascial closure, including lower rates of umbilical hernia repair
host_summaryTodd Ponsky14:19 ↗
Umbilical hernias from plastic closure generally close by age 2 or 3 years, just like any umbilical hernia
clinicalJack Langer14:56 ↗
Some gastroschisis patients become tachypneic with bluish legs after reduction and require intubation by neonatologists an hour or two later
clinicalJack Langer16:12 ↗
The disadvantage of leaving a silo on for 24-48 hours is that the abdominal wall defect gets stretched out and bigger, taking longer to close with plastic closure
clinicalJack Langer17:25 ↗
Spring-loaded silos apply pressure outward as you push down, making the defect larger over time
clinicalTodd Ponsky18:10 ↗
The incidence of intestinal atresia in gastroschisis is between 5 and 10%
epidemiologicalJack Langer18:51 ↗
There are two types of intestinal atresia in gastroschisis: early-onset atresia where bowel gets very dilated but not thick-walled, and late atresia where the abdominal wall defect becomes very small causing ischemia and potentially vanishing gastroschisis
clinicalJack Langer19:01 ↗
The prognosis for short bowel syndrome has improved dramatically over the last 10-15 years because of intestinal failure centers, better TPN that doesn't damage the liver as much, and control of sepsis
clinicalJack Langer20:15 ↗
For atresia in gastroschisis, there are three management choices: repair at time of closure, bring out stomas, or drop everything back in and repair the atresia later
clinicalJack Langer20:54 ↗
There's no good evidence for optimal management of atresia in gastroschisis because it's such a rare occurrence
opinionJack Langer21:15 ↗
If bowel looks good without much peel, primary repair of atresia at initial closure is appropriate; if there's concern, drop it back in and repair later
clinicalJack Langer21:35 ↗
Stomas are brought out only when there's necrotic bowel requiring resection and the bowel is not healthy enough to anastomose
clinicalJack Langer22:01 ↗
The umbilicus is the preferred site for neonatal stomas because it results in a scar that would have been there anyway and is convenient for appliance placement
clinicalJack Langer22:50 ↗
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