Is splanchnic perfusion pressure more predictive of outcome than intragastric pressure in neonates with gastroschisis?

Rebecca M. McGuigan, Kenneth S. Azarow

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Background The purpose of this study is to determine whether calculated splanchnic perfusion pressure (SPP) is more predictive of outcome than measured intragastric pressure (IGP) in patients with gastroschisis. Methods Retrospective chart review from 1997 through 2003 of 12 patients with gastroschisis. Results Eight total patients with gastroschisis underwent reduction and had adequate data for analysis. One patient underwent reduction on day of life (DOL) 6; the remainder underwent reduction on DOL 1. All patients had postreduction IGP <20 mm Hg. The correlation coefficient of IGP and date of extubation was 0.20 and of SPP and date of extubation was -0.51. The correlation coefficient of IGP and return of bowel function was -0.06 and of SPP and return of bowel function was -0.50. Conclusion SPP may be more predictive of outcome than IGP after gastroschisis repair.

Original languageEnglish (US)
Pages (from-to)609-611
Number of pages3
JournalAmerican journal of surgery
Volume187
Issue number5
DOIs
StatePublished - May 1 2004

Keywords

  • Abdominal pressure
  • Abdominal wall defect
  • Gastric pressure
  • Gastroschisis

ASJC Scopus subject areas

  • Surgery

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