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

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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.

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