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Echocardiographic Screening in Neonates Undergoing Surgery for Selected Gastrointestinal Malformations

Overview
Journal Arch Dis Child Fetal Neonatal Ed
Specialties Gynecology & Obstetrics
Pediatrics
Date 1994 May 1
PMID 8198415
Citations 9
Authors
R M Tulloh
S P TANSEY
K Parashar
J V De Giovanni
J G Wright
E D SILOVE
Affiliations
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Abstract

To compare echocardiography with clinical examination, radiography, and electrocardiography for the detection of congenital heart defects (CHD) a four year prospective study was carried out in 166 neonates with selected congenital gastrointestinal malformations (anorectal anomaly, tracheo-oesophageal fistula, duodenal atresia, exomphalos, and gastroschisis). Routine examination and investigation detected CHD in 16 neonates. Using echocardiography CHD was diagnosed in 38 (23%) neonates of whom five had two gastrointestinal malformations: in 22/57 (39%) with a tracheo-oesophageal fistula, 10/67 (15%) with an anorectal anomaly, 4/20 (20%) with exomphalos, 6/20 (30%) with duodenal atresia, and 1/7 with gastroschisis. A significantly higher incidence of CHD in neonates with gastrointestinal malformations was diagnosed using echocardiography (23%) compared with routine examination and investigation (9%). Early diagnosis of CHD allowed a unified approach to be presented to the family.

Citing Articles

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Cardiac anomalies in children with congenital duodenal obstruction: a systematic review with meta-analysis.

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Outcomes of patients with exomphalos and associated congenital heart diseases.

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Prevalence of congenital heart disease in patients undergoing surgery for major gastrointestinal malformations: an Indian study.

Gokhroo R, Gupta S, Arora G, Bisht D, Padmanabhan D, Soni V Heart Asia. 2016; 7(1):29-31.

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Is routine preoperative screening echocardiogram indicated in all children with congenital duodenal obstruction?.

Short S, Pierce J, Burke R, Papillon S, Frykman P, Nguyen N Pediatr Surg Int. 2014; 30(6):609-14.

PMID: 24682563 PMC: 4375951. DOI: 10.1007/s00383-014-3496-8.

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