Measurement of Gastric Circumference in Foetuses with Oesophageal Atresia

Abstract Background: The specific recognition of oesophageal atresia (OA) with or without a tracheal fistula in a foetus is a diagnostic challenge for prenatal medicine. The aim of the present work is to analyse the value of the measurement of gastric size in the diagnosis of this significant malfor...

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Published in:Geburtshilfe und Frauenheilkunde 2015-11, Vol.75 (11), p.1148-1152
Main Authors: Hoopmann, M., Kagan, K. O., Borgmeier, F., Seitz, G., Arand, J., Wagner, P.
Format: Article
Language:English
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Summary:Abstract Background: The specific recognition of oesophageal atresia (OA) with or without a tracheal fistula in a foetus is a diagnostic challenge for prenatal medicine. The aim of the present work is to analyse the value of the measurement of gastric size in the diagnosis of this significant malformation. Materials and Methods: Altogether, the examinations of 433 pregnancies between the 18.4 and 39.1 weeks of gestation were retrospectively analysed. 59 of these foetuses exhibited an OA. By means of a linear regression analysis with normal foetuses, significant parameters influencing gastric size were examined. Subsequently the gastric sizes were transformed into z values and a comparison was made between OA with and without fistulae with the help of t tests. Results: In the normal foetuses there was a significant association between the gastric circumference and the abdominal circumference (circumference = 6.809 + 0.179 × abdominal circumference, r = 0.686, p 
ISSN:0016-5751
1438-8804
DOI:10.1055/s-0035-1558172