An unusual cause of delayed full enteral feeding and prolonged hospital stay in a newborn with gastroschisis: Congenital Hypothyroidism
Journal Title: Medical Science and Discovery - Year 2016, Vol 3, Issue 3
Abstract
Gastroschisis, is a prevalently encountered congenital disease of the newborns where intraabdominal organs protrude through a full-thickness defect in the anterior abdominal wall without an overlying sac. In recent years, an increase in the global incidence of gastroschisis has been reported. Although its etiology is not known fully, it is usually associated with young maternal age. Delay in the transition to full-calorie enteral feeding (ENT) in a newborn with gastroschisis is a result of bowel dysfunction which is a major morbidity developing due to exposure of bowels to amniotic fluid. Consequently, newborn may require long-term TPN treatment, and sepsis may onset secondary to prolonged mechanical ventilation, and TPN treatment, and infection,.Global incidence of congenital hypothyroidism (CH) in live births is 1:3000-4000. Widely encountered symptoms may include prolonged jaundice, constipation, distended abdomen, and poor feeding. The diagnosis should be confirmed by finding an elevated serum TSH and low T4 or free T4 level. In the literature, transient hypothyroidism has been reported in cases who underwent only silo operation, and povidone iodine dressings,. Association of hypothyroidism with delayed transition to full enteral feeding, and prolonged hospital stay in gastroschisis has not been reported previously. In newborns with gastroschisis who underwent primary facial repair, thyroid functions should be controlled at appropriate times, and followed up closely.
Authors and Affiliations
Sevgi Sarsu
Keywords
Related Articles
- EP ID EP520498
- DOI -
- Views 48
- Downloads 0
An unusual cause of delayed full enteral feeding and prolonged hospital stay in a newborn with gastroschisis: Congenital Hypothyroidism
Gastroschisis, is a prevalently encountered congenital disease of the newborns where intraabdominal organs protrude through a full-thickness defect in the anterior abdominal wall without an overlying sac. In recent years...
Assessment of long term patient satisfaction in orthognathic surgery
Objective: Even though there are many reliable data that deal with orthognatic surgery, there is very little information about patient satisfaction. When evaluating the success of the surgery, clinicians usually take pos...
Secondary primary malignancy presence and related factors in chronic lymphocytic leukemia
Objective: The secondary primary malignancy frequencies have seen increased in chronic lymphocytic leukemia (CLL) regardless of therapy. The aim of this study was to investigate the frequency of secondary prim...
The evaluation of diagnostic performance of some enzymes for diagnosis and detection of breast cancer by ROC curve
Objective: In this study, it was aimed to examine the performance of Arylesterase (ARE), Paraoxonase-1 (PON-1) and Adenosine deaminase (ADA) enzymes to identify cancer patients and their stages with ROC curve in serum sa...
Bell's Palsy Together With Scarlet Fever In A Child: A Rare Case
Scarlet fever is an infectious disease caused by the erythrogenic toxin produced by β-hemolytic streptococci. The prodrome is 12-24 hours of fever, emesis, sore throat, and headache. If not treated, the fever rises up to...