TYK377
You are the anesthesiologist caring for a 4 week-old infant having a surgical repair of an omphalocele. The resident asks about the differences between omphalocele and gastroschisis. All the following statements about omphalocele and gastroschisis are correct EXCEPT:
a) Omphalocele is often associated with other anomalies, whereas gastroschisis usually is not
b) Omphalocele is due to a defect in the abdominal wall
c) Increased airway pressure is possible following closure of the abdomen for either defect
d) Gastroschisis has a higher incidence of bowel dysfunction compared to omphalocele
e) Relative to omphalocele, gastroschisis usually requires more urgent repair
Answer
Answer b. Gastroschisis is due to a defect in the abdominal wall, whereas omphalocele is due to a defect in the base of the umbilical cord (the umbilical ring). The remaining answer choices are all correct.
Notes
- This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.