2010

Antenatal Takiplerde Saptanan İzole Fetal Bağırsak Dilatasyonu

Gebelerin antenatal takiplerinde nadir olarak çeşitli seviyelerde fetal bağırsak genişlemeleri görülebilir. Ultrasonografik olarak fetal bağırsak genişlemesi görünümü fetal bağırsak tıkanıkları, kromozom ve enfeksiyöz bozuklukları ve kistik fibrozis gibi çeşitli durumlar için uyarıcı olabilir. Bu durumlarda doğum sonrası olası bir cerrahi müdahale gerekebilir. Ultrasonografi fetal bağırsak değerlendirilmesinde sınırlı bir etkiye sahiptir. Bu nedenle, antenatal takiplerde fetal barsak dilatasyonunun kazara saptanması, klinisyen için kesin lezyonları ve klinik anlamlı korelasyonlarını tanımlamak ve açıklamak açısından oldukça zordur. Bu nedenle fetal barsak dilatasyonu, farklı doğum sonrası sonuçlarla ilişkili olabilir.

Anahtar Kelimeler:

Ultrasonografi, fetüs, bağırsak patolojik bozuklukları

Isolated Fetal Intestinal Dilatation Detected in Antenatal Follow-up

Various levels of fetal bowel enlargement can rarely be seen during antenatal follow-up of pregnant women. The appearance of fetal bowel enlargement can be stimulating for various conditions such as fetal bowel obstruction, chromosome and infectious disorders, cystic fibrosis. In these cases, a possible postpartum surgical intervention may be required. Ultrasonography has a limited effect on fetal gut evaluation. Therefore, accidental detection of fetal bowel dilatation in antenatal follow-up is very difficult for the clinician to identify and explain definitive lesions and clinically significant correlations. Therefore, fetal bowel dilation may be associated with different postnatal outcomes.

Keywords:

Ultrasonography, fetus, bowel pathologic disorders,

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1. Colombani M, Ferry M, Toga C, et al. Magnetic resonance imaging in the prenatal diagnosis of congenital diarrhea. Ultrasound Obstet Gynecol 2010; 35:560–565
2. Richards C, Holmes SJ. Intestinal dilatation in the fetus. Arch Dis Child Fetal Neonatal Ed 1995.72:135–138
3. Shawis R, Antao B. Prenatal bowel dilatation and the subsequent post-natal management. Early Hum Dev 2006,.5thed Philadelphia 82:297–30
4. Bronshtein M, Blazer S, Zimmer E. Gastrointestinal tract. In: Callen 5thed Philadelphia PW (ed). Ultrasonography in Obstetrics and Gynecology.PA: Elsevier Saunders; 2008.587–639
5. Ruemmele FM, Schmitz J, Goulet O. Microvillous inclusion disease(microvillous atrophy). Orphanet J Rare Dis 2006; 1:22
6. D. A. Nyberg, L. A. Mack, R. M. Patten, and D. R. Cyr, “Fetal bowel. Normal sonographic findings,” Journal of Ultrasound in Medicine,1987. vol. 6, no. 1, pp. 3–6.
7. A. Couture, “Fetal gastrointestinal tract: US and MR,” in Gastrointestinal Tract Sonography in Fetuses and Children, Medical Radiology, 2008.1st edition, Springer, Berlin, pp. 1–84
8. R. John, F. D'Antonio, A. Khalil, S. Bradley, and S. Giuliani, “Diagnostic accuracy of prenatal ultrasound in identifying jejunal and ileal atresia,” Fetal Diagnosis and Therapy, 2015.vol. 38, no. 2, pp. 142–146
9. Ruiz MJ, Thatch KA, Fisher JC, et al. Neonatal outcomes associated with intestinal abnormalities diagnosed by fetal ultrasound. J Pediatr Surg 2009;44:71–4
10. Rennie JM, Roberton NRC. Textbook of neonatology. 3rd edn. Philadelphia: Pennsylvania, USA: Churchill Livingstone, 1999. Cystic Fibrosis p.758–759 Gastrointestinal disorders Part 3. Newel SJ. Ch.31 Gastroenterology
11. S. M. Johnson and R. L. Meyers, “Inherited thrombophilia: a possible cause of in utero vascular thrombosis in children with intestinal atresia,” Journal of Pediatric Surgery, 2001.vol. 36, no. 8, pp. 1146–1149,
12. J. H. Seashore, F. S. Collins, R. I. Markowitz, and M. R. Seashore, “Familial apple peel jejunal atresia: surgical, genetic, and radiographic aspects,” Pediatrics, 1987.vol. 80, no. 4, pp. 540–544.
13. J. R. Wax, T. Hamilton, A. Cartin, J. Dudley, M. G. Pinette, and J. Blackstone, “Congenital jejunal and ileal atresia: natural prenatal sonographic history and association with neonatal outcome,” Journal of Ultrasound in Medicine, 2006. vol. 25, no. 3, pp. 337–342.
14. Phillips AD, Schmitz J. Familial microvillous atrophy: a clinicopatho-logical survey of 23 cases. J Pediatr Gastroenterol Nutr 1992; 14:380–39
15. Corteville JE,Gray DL,Langer JC. Bowel abnormalities in the fetus--correlation of prenatal ultrasonographic findings with outcome. American Journal of Obstetrics and Gynecology, 1996; 175(3 Pt 1):724-729