The in-utero diagnosis of choledochal cyst: can postnatal imaging predict benefit from early surgical intervention?
| Autor: | Terry L. Buchmiller, Elizabeth D. Cochran, Aimee G. Kim, Stephanie P. Lazow, Erin E. Perrone, David T. Schindel, Lorrie S. Burkhalter, James R Davis, Natalie W. Frost, Patricia C. Santiago-Munoz, David H. Stitelman |
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| Rok vydání: | 2020 |
| Předmět: |
Pediatrics
medicine.medical_specialty Prenatal diagnosis 03 medical and health sciences 0302 clinical medicine Pregnancy Intervention (counseling) Prenatal Diagnosis Medicine Humans Choledochal cysts Retrospective Studies business.industry Infant Newborn Parturition Obstetrics and Gynecology Infant medicine.disease In utero 030220 oncology & carcinogenesis Choledochal Cyst Pediatrics Perinatology and Child Health Ultrasound imaging 030211 gastroenterology & hepatology Female business |
| Zdroj: | The journal of maternal-fetalneonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians. 35(6) |
| ISSN: | 1476-4954 |
| Popis: | Infants prenatally suspected of having a choledochal cyst (CDC) typically undergo ultrasound imaging shortly after birth. This study sought to evaluate features on the initial postnatal ultrasound (IPU) that could identify newborns at risk for early complications.Following IRB approval, patients from four US fetal centers with prenatal suspicion for CDC and postnatal imaging from 2000 to 2017 were reviewed. Imaging and clinical courses were assessed.Forty-two patients had prenatal ultrasounds suspicious for CDC. Nineteen (45.2%) were excluded due to diagnostic revision (In newborns with prenatally diagnosed CDC, a cyst size ≥ 4.5 cm on IPU is associated with symptom development during the first month after birth and therefore early cyst excision is recommended. |
| Databáze: | OpenAIRE |
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