Academic literature on the topic 'Gastroschisi'

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Journal articles on the topic "Gastroschisi"

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Luton, D., P. de Lagausie, J. Guibourdenche, M. Peuchmaur, O. Sibony, Y. Aigrain, J. F. Oury, and P. Blot. "Influence of Amnioinfusion in aModel of in utero Created Gastroschisi s in the Pregnant Ewe." Fetal Diagnosis and Therapy 15, no. 4 (2000): 224–28. http://dx.doi.org/10.1159/000021011.

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Stoll, C., Y. Alembik, B. Dott, and M. P. Roth. "Risk factors in congenital abdominal wall defects (omphalocele and gastroschisi): a study in a series of 265 858 consecutive births." Annales de Génétique 44, no. 4 (October 2001): 201–8. http://dx.doi.org/10.1016/s0003-3995(01)01094-2.

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Koivusalo, Antti, Mikko Pakarinen, and Annika Mutanen. "Complicated Gastroschisis Is Associated with Greater Intestinal Morbidity than Gastroschisis or Intestinal Atresia Alone." European Journal of Pediatric Surgery 28, no. 06 (October 4, 2017): 495–501. http://dx.doi.org/10.1055/s-0037-1607198.

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Aim The study aimed to compare outcomes and intestinal morbidity among complicated gastroschisis, isolated gastroschisis, and intestinal atresia. Methods In this retrospective observational single institution study, outcomes and intestinal morbidity were compared among gastroschisis complicated by intestinal atresia or perinatal bowel perforation, isolated gastroschisis, and isolated intestinal atresia. We included two cohorts; the first cohort included 68 consecutive patients with complicated gastroschisis (n = 9), isolated gastroschisis (n = 34), and intestinal atresia (n = 25) managed in our center. The second cohort included 20 patients (12 referred) with intestinal failure due to these underlying etiologies managed by our intestinal rehabilitation team. Results Patients with complicated gastroschisis had a significantly longer need for mechanical ventilation, primary hospital stay, and duration of parenteral nutrition (PN) and developed intestinal failure more often compared with other groups (p < 0.05 for all). Reoperations for surgical complications were also more frequent in patients with complicated gastroschisis (p < 0.05). Among those, who developed intestinal failure, autologous intestinal reconstruction (AIR) surgery was performed in 11 patients with comparable frequency in all groups. Repeated AIR surgery for bowel re-dilatation was required in 3/3 patients with complicated gastroschisis and 0/8 with isolated gastroschisis or intestinal atresia (p = 0.004). Conclusion Complicated gastroschisis is associated with markedly increased intestinal morbidity, reflected by prolonged duration of PN, more frequent reoperations for intestinal complications, and bowel re-dilatation after AIR surgery, when compared with patients with isolated gastroschisis or intestinal atresia.
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Salinas-Torres, Víctor M., Hugo L. Gallardo-Blanco, Rafael A. Salinas-Torres, and Laura E. Martínez de Villarreal. "Database for Gene Variants and Metabolic Networks Implicated in Familial Gastroschisis." Data 4, no. 3 (July 11, 2019): 97. http://dx.doi.org/10.3390/data4030097.

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Gastroschisis is one of the most prevalent human birth defects concerning the ventral body wall development. Recent research has given a better understanding of gastroschisis pathogenesis through the identification of multiple novel pathogenetic pathways implicated in ventral body wall closure. Deciphering the underlying genetic factors segregating among familial gastroschisis allows better detection of novel susceptibility variants than the screening of pooled unrelated cases and controls, whereas bioinformatic-aided analysis can help to address new insights into human biology and molecular mechanisms involved in gastroschisis. Technological advances in DNA sequencing (Next Generation Sequencing), computing power, and machine learning techniques provide opportunities to the scientific communities to assess significant gaps in research and clinical practice. Thus, in an effort to study the role of gene variation in gastroschisis, we employed whole exome sequencing in a Mexican family with recurrence for gastroschisis. Stringent bioinformatic analyses were implemented to identify and predict pathogenetic networks comprised of potential gastroschisis predispositions. This is the first database for gene variants and metabolic networks implicated in familial gastroschisis. The dataset provides information on gastroschisis annotated genes, gene variants, and metabolic networks and constitutes a useful source to enhance further investigations in gastroschisis.
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Ashburn, David A., Thomas Pranikoff, and Charles S. Turner. "Unusual Presentations of Gastroschisis." American Surgeon 68, no. 8 (August 2002): 724–27. http://dx.doi.org/10.1177/000313480206800813.

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Gastroschisis is a defect of the ventral abdominal wall nearly always located to the right of the umbilicus. A relatively low incidence of associated anomalies exists with the most common being nonduodenal intestinal atresia occurring in 10 per cent of patients. Although multiple hypotheses have been proposed the pathogenesis of gastroschisis is unproven and controversial. Herein we describe four infants with rare presentations of gastroschisis: one infant with true left-sided gastroschisis and three infants with unusual patterns of intestinal atresia. At present there is a female preponderance of left-sided gastroschisis as reported in the world literature (five female:two male). These cases illustrate the anatomic spectrum of gastroschisis as well as support intrauterine spontaneous closure of the abdominal wall defect as an etiology for midgut atresia.
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Nitzsche, Katharina, Guido Fitze, Mario Rüdiger, and Cahit Birdir. "Prenatal Prediction of Outcome by Fetal Gastroschisis in a Tertiary Referral Center." Diagnostics 10, no. 8 (July 30, 2020): 540. http://dx.doi.org/10.3390/diagnostics10080540.

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: The aim of this study was to find a prenatal parameter to be able to predict possible prenatal complications or postnatal surgical options, thus allowing the fetal medicine specialist, together with pediatric surgeons and neonatologists, to improve the counseling of the parents and to determine the timing of delivery and therapy. This was a retrospective analysis of prenatal diagnosis and outcome of fetuses with 34 cases of gastroschisis between the years 2007 and 2017. A total of 34 fetuses with gastroschisis were examined and 33 outcomes registered: 22 cases of simple gastroschisis (66.7%) and 11 cases of complex gastroschisis (33.3%). A cut-off value of 18 mm for intraabdominal bowel dilatation (IABD) showed a positive predictive value (PPV) of 100% for predicting simple gastroschisis. IABD gives the best prediction for simple versus complex gastroschisis (cut-off of 18 mm). Extra-abdominal bowel dilatation (EABD) cut-off values of 10 mm and 18 mm showed low sensitivity and specificity to predict complex gastroschisis.
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Georgeades, Christina, Alyssa Mowrer, Gezzer Ortega, Fizan Abdullah, and Jose H. Salazar. "Improved Mortality of Patients with Gastroschisis: A Historical Literature Review of Advances in Surgery and Critical Care from 1960–2020." Children 9, no. 10 (September 30, 2022): 1504. http://dx.doi.org/10.3390/children9101504.

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The improved survival of gastroschisis patients is a notable pediatric success story. Over the past 60 years, gastroschisis evolved from uniformly fatal to a treatable condition with over 95% survival. We explored the historical effect of four specific clinical innovations—mechanical ventilation, preformed silos, parenteral nutrition, and pulmonary surfactant—that contributed to mortality decline among gastroschisis infants. A literature review was performed to extract mortality rates from six decades of contemporary literature from 1960 to 2020. A total of 2417 publications were screened, and 162 published studies (98,090 patients with gastroschisis) were included. Mortality decreased over time and has largely been <10% since 1993. Mechanical ventilation was introduced in 1965, preformed silo implementation in 1967, parenteral nutrition in 1968, and pulmonary surfactant therapy in 1980. Gastroschisis infants now carry a mortality rate of <5% as a result of these interventions. Other factors, such as timing of delivery, complex gastroschisis, and management in low- and middle-income countries were also explored in relation to gastroschisis mortality. Overall, improved gastroschisis outcomes serve as an illustration of the benefits of clinical advances and multidisciplinary care, leading to a drastic decline in infant mortality among these patients.
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Watanabe, Shunusuke, Tatuya Suzuki, Fujio Hara, Toshihiro Yasui, Naoko Uga, and Atuki Naoe. "Omphalocele and Gastroschisis in Newborns: Over 16 Years of Experience from a Single Clinic." Journal of Neonatal Surgery 6, no. 2 (April 15, 2017): 27. http://dx.doi.org/10.21699/jns.v6i2.530.

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Infants born with potentially life-threatening conditions of omphalocele and gastroschisis may require long-term hospitalization. We aimed to compare the outcomes of these two conditions occurring over a 16-year period (2001-16). It is a retrospective study of 19 newborns undergoing surgery for these two abdominal wall defects (8 patients with omphalocele and 11 cases of gastroschisis). The average birth weights for the newborns with omphaloceles and gastroschisis were 2554.5 g and 2248.6 g respectively. Associated anomalies included trisomy 18, Beckwith-Wiedemann syndrome, congenital heart disease, Meckel’s diverticulum, inguinal hernias, renal deformities, limb deformities, cryptorchidism, body stalk anomalies, and closed gastroschisis. The average hospital stay for the newborns with omphaloceles and gastroschisis were 42.6 days 50.2 days respectively. The time to the start of postoperative nutritional supplementation for the newborns with omphaloceles and gastroschisis were 4.3 days for the infants with omphaloceles and 7.3 days for respectively. The survival rates for the newborns with omphaloceles and gastroschisis were similar, 87.5% and 81.8% respectively. Survival rates in omphalocele correlated negatively with associated anomalies. In gastroschisis cases, strict care is necessary when intestinal dilation is observed via fetal sonography.
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Mohamed, Jamal Abade, Richard Migisha, Felix Oyania, Ann Shikanda Wesonga, Ahmed Abade Mohamed, and Martin Situma. "Patterns and Short Term Outcome of Children with Major Congenital Anterior Abdominal Wall Defects Admitted At Mbarara Regional Referral Hospital, South Western Uganda, from September 2019 to June 2020." American Journal of Health, Medicine and Nursing Practice 7, no. 8 (June 19, 2022): 21–27. http://dx.doi.org/10.47672/ajhmn.1074.

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Background: Omphalocele and gastroschisis are the most common major congenital abdominal wall defects (CAWDs) globally. Mortality among neonates major CAWDs is higher in low-income countries than in high-income countries. This study described the patterns and short-term clinical outcomes of infants with gastroschisis and omphalocele at a regional referral hospital in southwestern Uganda. Methods: A case series was conducted at Mbarara Regional Referral Hospital ten months. Children born with CAWD during the study period 54 samples size were consecutively recruited into the study. Data were entered, cleaned, and analyzed using Stata version 15. Descriptive statistics were performed where continuous variables were summarized using median and interquartile ranges, while categorical variables were summarized using frequencies and proportions. Time to mortality was assessed using Kaplan–Meier survival analysis. Results: A total of 54 newborns were recruited into the study, of which 40 (70.04%) had Gastroschisis and 14(25.93%) had omphalocele. The median age of the infants was 9 days with an interquartile range of 4 to 21days. Of the 54 newborns, 30(69.2%) were male within the age group of 1-10 days. Mortality was higher in babies with complex gastroschisis (22) than simple gastroschisis (10). Not administering antibiotics and low birth weight were the factors associated with mortality among infants diagnosed with gastroschisis and omphalocele in the neonatal period. Conclusion: The most common observed defect was gastroschisis, Mortality was generally high among children presenting with gastroschisis. Complex gastroschisis has a poorer prognosis than simple gastroschisis over 30 days follow up period. Non-use of antibiotics before referral to a health facility and low birth weight were the factors associated with mortality among infants diagnosed with gastroschisis and omphalocele in the neonatal period. Recommendation: The most common pattern observed was Gastroschisis. The majority of children presenting with Omphalocele were more likely to survive for 30 days. There is a need for timely referral for babies born with congenital anterior abdominal wall defects.
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Jolley, Alexandra Frances, Elizabeth Jane Beare, Jeremy Granger, Catherine Lucy Cord-Udy, Peter Muller, and Lynette Moore. "Intrauterine Fetal Death With Vanishing Gastroschisis and Post Mortem Examination Findings." Pediatric and Developmental Pathology 20, no. 2 (January 25, 2017): 158–62. http://dx.doi.org/10.1177/1093526616683872.

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We present a severe case of vanishing gastroschisis resulting in intrauterine death with post mortem examination findings. Gastroschisis is defined as a full thickness paraumbilical abdominal wall defect associated with evisceration of fetal intestine. It is almost always right-sided. Vanishing gastroschisis is an extremely rare form of gastroschisis that results in short bowel syndrome due to exteriorized bowel disconnected from the lumen of the rest of the bowel proximally as well as distally in association with partial or complete closure of the abdominal wall. This case is only the second published case of vanishing gastroschisis resulting in intrauterine fetal death including post mortem examination findings. It highlights the importance of being aware of this rare form of gastroschisis and provides insights regarding pathogenesis, ultrasound surveillance, and antenatal counseling.
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Dissertations / Theses on the topic "Gastroschisi"

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Kruscha, Josefine. "Analyse verschiedener Risikofaktoren und Prävalenzentwicklung der Gastroschisis im Zeitraum 2003 bis 2010 in Leipzig." Doctoral thesis, Universitätsbibliothek Leipzig, 2015. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-178871.

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In den letzten Jahrzehnten konnte international ein Prävalenzanstieg der Gastroschisis beobachtet werden. Nach wie vor bleibt die Ätiologie sowie Pathogenese dieses Bauchwanddefektes nicht vollständig geklärt. Ziel dieser Arbeit war es, zum einen die Prävalenzentwicklung der Gastroschisis im Untersuchungszeitraum 2003 bis Ende Juli 2010 in Leipzig zu untersuchen und zum anderen mögliche relevante Risikofaktoren für diese Fehlbildung aus dem vorliegenden Patientenkollektiv zu eruieren. Dazu wurden 27 Mütter von Gastroschisiskindern und 27 Mütter gesunder Neugeborener befragt und die Ergebnisse unter Einbeziehung klinischer Daten analysiert. Für den untersuchten Zeitraum ergab sich eine Prävalenz von 4,1 je 10000 Lebendgeborene für den Direktionsbezirk Leipzig. In Sachsen lag diese bei 2,3 je 10000 Lebendgeburten. Als signifikante Risikofaktoren konnten das junge Alter und ein niedriger Bildungsgrad der Mütter, der Familienstand ledig, eine kurze Kohabitationszeit mit dem Vater des Kindes und die fehlende Einnahme von Folsäure in der Schwangerschaft erhoben werden. Weiterhin erhöhte der Nikotinkonsum das Risiko um das 3,6-fache, ein Kind mit einer Gastroschisis zu bekommen. Die Einnahme von oralen Kontrazeptiva führte ebenfalls zu einer deutlichen Steigerung des Risikos. Eine eher untergeordnete Rolle spielten Alkohol- und Drogenkonsum, Ernährungsfaktoren, Erkrankungen, der BMI, das Geschlecht der Kinder, die Ethnizität, die familiäre Vorbelastung, der Konzeptionszeitpunkt, Expositionen gegenüber Umweltfaktoren, die Parität und die Einnahme von Medikamenten.
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Müller, Marc. "Fetalchirurgischer Verschluss der Gastroschisis im Kaninchenmodell." Diss., lmu, 2009. http://nbn-resolving.de/urn:nbn:de:bvb:19-97498.

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Rimaz, Shahnaz. "Epidemiology of omphalocele and gastroschisis in Glasgow." Thesis, University of Glasgow, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.340758.

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Abbate, Tina. "Gastroschisis in New York State, 1998-2010." Thesis, State University of New York at Binghamton, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3728176.

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In the United States, one out of every thirty-three infants is born with some sort of birth defect or congenital malformation. Certain risk factors such as age and substance use increase the likelihood of having a baby afflicted with a defect and public health nurses have worked tirelessly to educate the public about these factors. In addition, thanks to modern medicine, many defects are detected early in pregnancy, which allows for careful monitoring and planning for the delivery. In spite of these gains, birth defects continue to dominate the public health arena because they are a leading cause of death for infants and play a prominent role in long-term morbidity and disability.

Gastroschisis and omphalocele are abdominal wall defects that present with herniation of intestines and organs due to failure of abdominal wall closure during embryonic development. Of the two abdominal wall defects, gastroschisis has demonstrated a worldwide increase in prevalence over the last three to four decades. The common denominator in the literature is young maternal age. However, the relationship between maternal age and gastroschisis is unclear. This study utilized birth certificate data from New York State to examine the relationship between maternal characteristics and delivering an infant with gastroschisis.

In this study, the infants diagnosed with gastroschisis were mostly singleton births born at an earlier gestation (34-36 weeks) and a lower birth weight (1500-2499 gm) than infants without gastroschisis. From a demographic perspective, mothers of infants with gastroschisis were more likely to be younger (≤24), Hispanic or less educated. The findings also revealed that mothers of infants with gastroschisis were more likely to have inadequate prenatal care, use tobacco, illicit drugs or have a sexually transmitted disease. Mothers of infants with gastroschisis were also more likely to live in a non-metropolitan county or fall into a lower socioeconomic status. Further research is needed to continue examining the relationship between maternal characteristics and a diagnosis of gastroschisis in the newborn infant.

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Grossberndt, Sonja. "Aspekte der Fehlbildungsprävention am Beispiel der Gastroschisis." [Magdeburg] Blauer-Punkt-Verl, 2007. http://d-nb.info/991225937/04.

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Yazdy, Mahsa Mirmiran. "Environmental and infectious risk factors for gastroschisis." Thesis, Boston University, 2013. https://hdl.handle.net/2144/12946.

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Thesis (Ph.D.)--Boston University
Gastroschisis is a rare congenital malformation where loops of bowel are protruding from the abdominal wall of an infant. The prevalence of gastroschisis has been increasing over the past 20 years, particularly in younger women. However, as the number of studies on gastroschisis increases each year, it continues to remain unclear why the prevalence is increasing and why it disproportionately affects younger mothers. Previous research has suggested that environmental or infectious factors may be involved in the pathogenesis of gastroschisis. This dissertation aims to explore the possibility of these two factors in relation to gastroschisis. In study 1, clusters of gastroschisis were identified in space or the combination of space and time. Cases and controls came from the National Birth Defects Study (NBDPS) or for some study centers from the birth defects surveillance systems. Generalized additive models were used to create a continuous map surface of odds ratios (OR) by smoothing over latitude and longitude. Data from the NBDPS were used for the Arkansas, California, and Utah study centers and the highest adjusted ORs detected were 2.0, 1.3, and 2.4, respectively. In Massachusetts and Texas, where surveillance data were used, the highest adjusted ORs observed were 2.4 and 1.3, respectively, with only the latter state achieving statistical significance. Texas had sufficient data to assess the combination of space and time, which identified an increased risk (OR=2.9) in the center of Texas in 2003. The results of this study suggest that clusters of gastroschisis may exist and further exploration of environmental or behavioral factors are warranted. [TRUNCATED]
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Trost, Stefanie. "Retrospektive Analyse des kurzfristigen Outcomes von Patienten mit Gastroschisis und Omphalocele am Zentrum für Kinder- und Jugendmedizin Leipzig." Doctoral thesis, Universitätsbibliothek Leipzig, 2013. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-83329.

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Hintergrund: Weltweit berichteten zahlreiche Studien von einer steigenden Inzidenz von Patienten mit angeborenen Bauchwanddefekten. Besonders die Zahl der Gastroschisis-Kinder hat deutlich zugenommen. Auch die Neonatologen der Universitätsklinik Leipzig beschrieben ein gehäuftes Auftreten von Patienten mit Gastroschisis und Omphalocele. Aufgabe der vorliegenden Arbeit war es, die Inzidenz dieser beiden Fehlbildungen am Universitätsklinikum Leipzig zu ermitteln und zu untersuchen, wie sich die Fallzahlen während des Untersuchungszeitraumes (1998-2008) entwickelt hatten. Zudem sollten Parameter identifiziert werden, die die Prognose der betroffenen Kinder bis zur Entlassung beeinflussten. Ein weiteres Anliegen dieser Studie war es, mithilfe einer ausführlichen Literaturrecherche, einen Überblick über die aktuelle Behandlung und Prognose der beiden Fehlbildungen zu geben. Methoden: Im Rahmen einer retrospektiven Untersuchung erfolgte die Erhebung und Auswertung der Daten von 27 Kindern mit Gastroschisis sowie 19 Kindern mit Omphalocele, die zwischen 1998 und 2008 in der Universitätsklinik Leipzig behandelt wurden. Mithilfe des Mann-U-Whitney-Tests sowie des exakten Tests nach Fisher wurden zahlreiche Merkmale hinsichtlich ihrer Auswirkungen auf das Outcome überprüft. Als Parameter, die das Outcome widerspiegelten, galten der Beginn des enteralen Kostaufbaus mit Tee-Glucose-Lösung und Milch, die Dauer der parenteralen Nährstoffzufuhr und des Krankenhausaufenthaltes, sowie Nachoperationen, Komplikationen und die Letalität während des stationären Aufenthaltes. Ergebnisse: An der Universitätsklinik Leipzig betrug die Inzidenz von Gastroschisis 14 pro 10 000 Lebendgeburten und von Omphalocele 9 pro 10 000 Lebendgeburten. Die Inzidenz blieb während des elfjährigen Beobachtungszeitraumes konstant. Der Vergleich früh- und reifgeborener Gastroschisis-Patienten zeigte, dass eine Frühgeburt weder mit einem früheren Beginn der oralen Ernährung mit Tee-Glucose-Lösung (11 d vs. 14 d; p nicht signifikant) und Milch (17 d vs. 17 d; p nicht signifikant), noch mit einer Verkürzung der parenteralen Ernährung (36 d vs. 37 d; p nicht signifikant) und stationären Behandlung (48 d vs. 50 d; p nicht signifikant) einherging. Häufig verkomplizierten Infektionen (12/27) und sekundäre Darmverschlüsse (9/27) mit der Notwendigkeit einer zusätzlichen Operation den postoperativen Verlauf der Gastroschisis-Patienten. Letztgenannte Komplikation führte zu einer erheblich protrahierten parenteralen Ernährung (79 d vs. 31 d; p < 0,05) und stationären Behandlung (101 d vs. 38 d; p < 0,05), während Infektionen kaum Auswirkungen auf das Outcome hatten. Es zeigte sich, dass vorrangig Kinder mit kleinem Defekt (<= 4 cm) sowie mit prolabiertem Magen einen Ileus entwickelten. Neben Darmverschlüssen führten intestinale Begleitfehlbildungen tendenziell zu einer Verlängerung der Hospitalisierungszeit (73 d vs. 48,5 d; p nicht signifikant). Gelang die orale Zufuhr von Milch innerhalb der ersten 14 Lebenstage, so verringerte sich die Dauer der parenteralen Ernährung (30 d vs. 37 d; p < 0,05) und der stationären Behandlung (41 d vs. 67 d; p nicht signifikant). Bei Patienten mit Omphalocele bestimmten vor allem die Größe der Omphalocele, der Inhalt des Bruchsackes sowie der Zeitpunkt des oralen Ernährungsbeginns die Prognose. Ein großer (> 4 cm) Bauchwanddefekt ging mit einer erhöhten Infektionsrate (4/7 vs. 1/11; p < 0,05), prolongierten parenteralen Nahrungszufuhr (26 d vs. 17 d; p < 0,05) sowie stationären Behandlung (46 d vs. 24 d; p nicht signifikant) einher. Extraintestinale Begleitanomalien zeigten sich jedoch häufiger bei Patienten mit kleinem Defekt (5/11 vs. 1/7; p nicht signifikant). Befand sich die Leber außerhalb der Abdominalhöhle, waren zusätzliche Fehlbildungen seltener (3/11 vs. 5/7; p < 0,05). Eine prolabierte Leber verzögerte tendenziell die parenterale Ernährung (24 d vs. 18 d; p nicht signifikant) und die Krankenhausverweildauer (46 d vs. 21 d; p nicht signifikant). Ein frühzeitiger Beginn des enteralen Kostaufbaus mit Milch innerhalb der ersten zehn Lebenstage führte hingegen zu einer Verkürzung der parenteralen Ernährung (17 d vs. 27 d; p < 0,05) und stationären Behandlung (22,5 d vs. 49 d; p nicht signifikant). Schlussfolgerung: Die Inzidenz von Gastroschisis und Omphalocele blieb während des Beobachtungszeitraumes konstant. Die Prognose der Gastroschisis-Patienten wurde durch eine Frühgeburt nicht verbessert, so dass eine Termingeburt angestrebt werden sollte. Die Daten der vorliegenden Arbeit legen nahe, dass ein frühzeitiger Nahrungsaufbau mit der oralen Zufuhr von Tee ab dem achten Lebenstag sowie Milch ab dem zehnten Lebenstag günstig für das Outcome hinsichtlich der Dauer der parenteralen Ernährung und des stationären Aufenthaltes ist. Darmverschlüsse stellten schwerwiegende Komplikationen dar und verschlechterten das Outcome maßgeblich. Eine große Omphalocele sowie eine ausgetretene Leber erhöhten die Morbidität. Ebenso wie bei Gastroschisis-Kindern scheint ein frühzeitiger Beginn der enteralen Ernährung das Outcome der Omphalocele-Patienten hinsichtlich der Dauer der parenteralen Ernährung und Krankenhausbehandlung zu verbessern. Deshalb empfehlen wir ab dem fünften sowie siebten Lebenstag die enterale Ernährung mit Tee sowie Milch zu beginnen. Ein großes Manko der vorliegenden Studie ist die kleine Fallzahl dieser retrospektiven, monozentrischen Erhebung. Zur besseren Erfassung der Patienten mit angeborenen Bauchwanddefekten und um aussagekräftige epidemiologische und prognostische Ergebnisse zu erhalten, bedarf es eines Fehlbildungsregisters in Sachsen, so wie es bereits in anderen Bundesländern angewandt wird.
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Draper, Elizabeth Sharon. "Recreational drug use : a major risk factor for gastroschisis?" Thesis, University of Leicester, 2005. http://hdl.handle.net/2381/30482.

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Bremer, Sophia Alice. "Prävalenz von Gastroschisis, Omphalozele, Spina bifida und orofazialen Spaltbildungen bei Neugeborenen im Zeitraum Januar 2000 bis Dezember 2010 in Leipzig, Sachsen, Sachsen-Anhalt und Deutschland." Doctoral thesis, Universitätsbibliothek Leipzig, 2017. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-219767.

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Hintergrund: Zahlreiche Studien beschreiben weltweit eine Zunahme angeborener Fehlbildungen. Diese sind in Deutschland die häufigste Todesursache im frühen Kindesalter. Die hier vorliegende Studie untersuchte lokale und nationale Trends der Prävalenz von Gastroschisis, Omphalozele, Spina bifida und orofazialen Spaltbildungen von 2000 bis 2010. Methoden: Die Prävalenz der 4 Fehlbildungen wurde im Zeitraum Januar 2000–Dezember 2010 mithilfe von 4 Datenquellen aus Leipzig, Sachsen, Sachsen-Anhalt und Deutschland untersucht. Ergebnisse: Die Prävalenz der Fehlbildungen betrug im Untersuchungszeitraum in Deutschland bzw. in Sachsen 1,97/2,12 (Gastroschisis), 1,63/1,48 (Omphalozele), 5,80/8,11 (orofaziale Spaltbildungen) und 2,92/2,50 (Spina bifida) je 10 000 Lebendgeborene. In Sachsen zeigte sich ein Trendanstieg, dessen Effektstärken jedoch sehr gering sind (OR/Jahr zwischen 1,01–1,09). Auch in Deutschland insgesamt wurde eine signifikante Zunahme der Fehlbildungen beobachtet (OR/Jahr zwischen 1,01–1,04), ausgenommen davon war die Lebendgeborenenprävalenz der Spina bifida, die abzunehmen schien (OR/Jahr 0,986 (0,97–1,0), p-korrigiert = 0,04). Schlussfolgerung: Ob ein tatsächlicher Anstieg der Prävalenzen besteht oder lediglich Artefakte einen Anstieg vortäuschen, ist unklar. Änderungen in der Erfassungs- und Verschlüsselungspraxis, Fehlcodierungen, Doppel- und/oder lückenhafte Erfassung der Fehlbildungen könnten die Daten verfälschen. Da nur in Sachsen-Anhalt und Rheinland-Pfalz das Auftreten von Fehlbildungen prospektiv erfasst wird, könnten im Übrigen auch nur in diesen Bundesländern zeitnah Veränderungen der Fehlbildungsprävalenz erkannt werden. Angesichts der anscheinenden oder scheinbaren Zunahme von Fehlbildungen und der offensichtlich fehlerhaften Datenlage ist ein berücksichbundesweites oder sind weitere regionale Register für eine bessere und zeitnahe Erkennung und Erfassung von Fehlbildungen in Deutschland notwendig.
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Lipinski, Agnes Sylvie [Verfasser]. "Retrospektive Analyse des Outcome von Kindern mit intestinalen Begleitfehlbildungen bei Gastroschisis / Agnes Sylvie Lipinski." Berlin : Medizinische Fakultät Charité - Universitätsmedizin Berlin, 2008. http://d-nb.info/102326269X/34.

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Books on the topic "Gastroschisi"

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Hughes, Thomas E. Arizona gastroschisis report, 1986-1996. Phoenix: Arizona Birth Defects Monitoring Program, Office of Epidemiology and Statistics, Bureau of Public Health Statistics, Arizona Dept. of Health Services, 1999.

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Wyatt, Karla E. K., and Olutoyin A. Olutoye. Omphalocele/Gastroschisis. Edited by Erin S. Williams, Olutoyin A. Olutoye, Catherine P. Seipel, and Titilopemi A. O. Aina. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190678333.003.0049.

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Omphalocele and gastroschisis are the most common types of abdominal wall defects encountered in the neonatal population. Both conditions result in the herniation of abdominal viscera through a defect in the upper or lower abdominal wall. These neonates can present with herniated organs, intestinal obstruction, impaired blood supply to visceral organs, and major fluid deficits. The primary goal for a neonate with an abdominal wall defect is surgical closure. Prior to achieving this goal, maintenance of perfusion of the herniated viscera and minimization of evaporative fluid losses secondary to the exposed surface area are paramount. This chapter discusses the distinctly different etiologies of these conditions, comorbidities, and prognoses, as well as the surgical and anesthetic management strategies and commonly encountered perioperative complications.
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Stoddart, Peter. Omphalocele/Gastroschisis Repair. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199764495.003.0054.

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Congenital abdominal wall defects (AWD) comprise gastroschisis and omphalocele (exomphalos). Nearly all AWDs require urgent intervention within a few hours of birth. The current incidence of omphalocele (3 per 10,000) and gastroschisis (4–5 per 10,000) has been increasing over the past few decades; however, improved management of these congenital defects has resulted in a fall in mortality to less than 5%. The anesthetic management of both conditions is essentially the same.
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Foundation, Avery's Ang Gastroschisis. 2017 Gastroschisis Yearbook. Lulu Press, Inc., 2017.

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Publications, ICON Health. Gastroschisis - A Medical Dictionary, Bibliography, and Annotated Research Guide to Internet References. ICON Health Publications, 2004.

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Stanton, Mike. Congenital abnormalities of the gastrointestinal tract. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198759928.003.0001.

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This chapter covers the common congenital abnormalities. This includes detailed discussion of the gut development. Conditions covered include gastroschisis, exomphalos, malrotation, duodenal atresia, small bowel obstruction, distal intestinal obstruction, meconium ileus, Hirschsprung disease, and anorectal malformation.
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Fox, Grenville, Nicholas Hoque, and Timothy Watts. Gastrointestinal problems. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198703952.003.0010.

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This chapter describes the presentation, investigation, and management of congenital and acquired gastrointestinal problems. It begins with a symptom-based approach giving differential diagnoses for vomiting, haematemesis, bloody stools, and diarrhoea. All common congenital problems are covered including oesophageal atresia, tracheo-oesophageal fistula, intestinal atresia, exomphalos, gastroschisis, malrotation, volvulus, meconium ileus, Hirschsprung’s disease, and anorectal anomalies. There are several pages devoted to necrotizing enterocolitis. Throughout there is a description of the surgical management of relevant conditions.
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Dachsangvorn, Pikulkaew. Omphalocele and Beckwith-Wiedemann Syndrome. Edited by Kirk Lalwani, Ira Todd Cohen, Ellen Y. Choi, and Vidya T. Raman. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190685157.003.0004.

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This chapter discusses omphalocele, which is a neonatal abdominal wall defect through which abdominal visceral content herniates. Although omphalocele is similar in gross appearance to gastroschisis, it is more frequently associated with chromosomal abnormalities such as trisomies 13, 15, 18, and 21, and syndromes such as Beckwith-Wiedemann, Rieger’s, and prune belly syndrome. It is also more frequently associated with anomalies in other organ systems. Management of infants with Beckwith-Wiedemann syndrome and omphalocele can be challenging due to the concurrent risk of difficult airway and aspiration. Associated comorbidities also need to be addressed to avoid secondary insults in the perioperative period.
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Berg, Simon, and Stewart Campbell. Paediatric and neonatal anaesthesia. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198719410.003.0034.

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This chapter discusses the anaesthetic management of the neonate, infant, and child. It begins with a description of neonatal physiology, then discusses fluid management, anaesthetic equipment, and the conduct of anaesthesia in children, including post-operative analgesia. Regional anaesthetic techniques in children are discussed, including caudal, epidural, spinal, and regional nerve blocks. Surgical procedures covered include repair of diaphragmatic hernia, gastroschisis/exomphalos, tracheo-oesophageal fistula, patent ductus arteriosus, pyloric stenosis, intussusception, herniotomy, penile circumcision, orchidopexy, hypospadias, cleft lip and palate, congenital talipes equinovarus, femoral osteotomy, and inhaled foreign body. It concludes with a discussion of paediatric medical problems, stabilization of the critically ill child, and paediatric sedation.
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Clebone, Anna, Barbara Burian, Keith J. Ruskin, and Barbara Burian, eds. Pediatric Anesthesia Procedures. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780190685188.001.0001.

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Pediatric Anesthesiology Procedures is intended as a ready resource of common procedures in Pediatric Anesthesiology for both experts and novices. It will be useful to both those with extensive training and experience as well as beginners and those with distant experience or training. A wealth of knowledge in the human factors of procedure design and use has been applied throughout to ensure that desired information can be easily located, that steps are clearly identified and comprehensible, and that additional information of high relevance to procedure completion is co-located and salient. This book begins with the basics, but quickly progresses to advanced skill sets. It is divided into four parts. Part I focuses on the airway and breathing, and advances from the basics of airway management through specialty skills such as lung isolation. Part II covers vascular access, from the fundamentals of fluid management and programming several types of common pumps, to intraosseous placement. Part III examines neuraxial regional anesthesia techniques as well as sympathetic blocks performed by those with an additional fellowship in pain management. This volume concludes with Part IV on emergencies and critical conditions including cardiopulmonary resuscitation for neonates and older children, treatment of local anesthetic systemic toxicity. It also includes four chapters which detail the anesthetic management for classic neonatal surgical pathologies, such as tracheoesophageal fistula, myelomeningocele, gastroschisis/omphalocele, and congenital diaphragmatic hernia.
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Book chapters on the topic "Gastroschisi"

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Schwartz, Marshall Z., and Shaheen J. Timmapuri. "Gastroschisis." In Pediatric Surgery, 1177–87. Berlin, Heidelberg: Springer Berlin Heidelberg, 2020. http://dx.doi.org/10.1007/978-3-662-43588-5_84.

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Schwartz, Marshall Z., and Shaheen J. Timmapuri. "Gastroschisis." In Pediatric Surgery, 1–11. Berlin, Heidelberg: Springer Berlin Heidelberg, 2017. http://dx.doi.org/10.1007/978-3-642-38482-0_84-1.

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Islam, Saleem. "Gastroschisis." In Fundamentals of Pediatric Surgery, 569–74. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-27443-0_68.

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Fahmy, Mohamed. "Gastroschisis." In Umbilicus and Umbilical Cord, 207–15. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-62383-2_33.

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Boemers, Thomas M. "Gastroschisis." In Pädiatrische Endokrinologie und Diabetologie, 1–6. Berlin, Heidelberg: Springer Berlin Heidelberg, 2018. http://dx.doi.org/10.1007/978-3-662-53390-1_71-1.

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Shaaban, Aimen F. "Gastroschisis." In Fundamentals of Pediatric Surgery, 515–22. New York, NY: Springer New York, 2010. http://dx.doi.org/10.1007/978-1-4419-6643-8_65.

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Al-Salem, Ahmed H. "Gastroschisis." In An Illustrated Guide to Pediatric Surgery, 247–52. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-06665-3_36.

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Chen, Harold. "Gastroschisis." In Atlas of Genetic Diagnosis and Counseling, 1–7. New York, NY: Springer New York, 2016. http://dx.doi.org/10.1007/978-1-4614-6430-3_102-2.

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Agnoni, Alysia A. "Gastroschisis." In Pediatric Surgery, 163–65. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-04340-1_27.

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Al-Salem, Ahmed H. "Gastroschisis." In Atlas of Pediatric Surgery, 187–92. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-29211-9_21.

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Conference papers on the topic "Gastroschisi"

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Oseji, Ogochukwu, Felipe Mercado Olivares, Torri Anderson, Victor Sebastian Arruarana, Rochelle Johns, Israel Benjamin, Jana Yancey, et al. "Prenatal Diagnosis of Gastroschisis." In 13th Philadelphia Prenatal Virtual Conference—Selected Abstracts. Thieme Medical Publishers, Inc., 2021. http://dx.doi.org/10.1055/s-0041-1735769.

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Oseji, Ogochukwu, Felipe Mercado Olivares, Torri Anderson, Victor Sebastian Arruarana, Rochelle Johns, Israel Benjamin, Jana Yancey, et al. "Prenatal Diagnosis of Gastroschisis." In 13th Philadelphia Prenatal Virtual Conference—Selected Abstracts. Thieme Medical Publishers, Inc., 2021. http://dx.doi.org/10.1055/s-0041-1735769.

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Fröhlich, C., J. Festl, A. Wöckel, and M. Rehn. "Fetale Gastroschisis: pränatale Diagnostik – neonatales Outcome." In Ultraschall 2017. Georg Thieme Verlag KG, 2017. http://dx.doi.org/10.1055/s-0037-1606993.

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Lihs, A., and L. Delle Chiaie. "Sinusoidales CTG Muster bei fetaler Gastroschisis." In 28. Deutscher Kongress für Perinatale Medizin. Georg Thieme Verlag KG, 2017. http://dx.doi.org/10.1055/s-0037-1607762.

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Yee, L., C. Douch, A. Zaghal, S. Chuang, and S. Habermann. "G140(P) Gastroschisis: a 9 year single centre experience." In Royal College of Paediatrics and Child Health, Abstracts of the Annual Conference, 13–15 March 2018, SEC, Glasgow, Children First – Ethics, Morality and Advocacy in Childhood, The Journal of the Royal College of Paediatrics and Child Health. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2018. http://dx.doi.org/10.1136/archdischild-2018-rcpch.136.

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Sewell, Edward, and Nigel Hall. "378 Growth in Gastroschisis: a prospective, observational cohort study." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference, Liverpool, 28–30 June 2022. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2022. http://dx.doi.org/10.1136/archdischild-2022-rcpch.230.

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Poole, Barish, Arlene Garingo, Philippe Friedlich, Ashwini Lakshmanan, Christopher Gayer, and Jennifer Shepherd. "Mode of Delivery, Outcomes, and Resource Utilization in Neonatal Gastroschisis." In Selection of Abstracts From NCE 2016. American Academy of Pediatrics, 2018. http://dx.doi.org/10.1542/peds.141.1_meetingabstract.538.

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Ramos, K., R. Rossi, B. Tillig, D. Schlembach, B. Ramsauer, and W. Frenzel. "Case Report: Voraussetzungen und Möglichkeiten der vaginalen Entbindung bei fetaler Gastroschisis." In 29. Deutscher Kongress für Perinatale Medizin. Deutsche Gesellschaft für Perinatale Medizin (DGPM) – „Hinterm Horizont geht's weiter, zusammen sind wir stark“. Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0039-3401271.

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Kaninde, Abhidhamma, A. Battiwala, S. Taha, and S. Mittal. "129 Intra-abdominal Compartment syndromecomplicating postoperative gastroschisis neonate – a learning lesson." In 10th Europaediatrics Congress, Zagreb, Croatia, 7–9 October 2021. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2021. http://dx.doi.org/10.1136/archdischild-2021-europaediatrics.129.

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Nitzsche, K., M. Komar, and C. Birdir. "Fetale Bauchwanddefekte – 10 Jahre Ergebnisse eines Perinatalzentrums Level 1 Pränatale sonografische Diagnostik und outcome bei fetaler Omphalocele und Gastroschisis." In Interdisziplinärer Kongress | Ultraschall 2019 – 43. Dreiländertreffen DEGUM | ÖGUM | SGUM. Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0039-1695919.

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