Author/Editor     Premru-Sršen, Tanja
Title     Ultrazvočno ugotavljanje nepravilnosti v razvoju plodove trebušne stene in plodovih prebavil
Translated title     Ultrasound diagnosis of fetal abdominal wall and gastrointestinal system abnormalities
Type     članek
Source     Med Razgl
Vol. and No.     Letnik 44, št. Suppl 2
Publication year     2005
Volume     str. 133-42
Language     slo
Abstract     Ultrasound examination of fetal abdominal wall may reveal two most frequent disorders: omphalocele and gastroschisis. In contrast to gastroschisis, omphalocele is frequently associated with other structural and chromosomal anomalies, especially to trisomy 18. Most frequent congenital anomalies of the fetal gastrointestinal tract that can be seen prenataly are esophageal and duodenal atresia as well as other intestinal atresias and stenoses. Congenital anomalies of the gastrointestinal tract are sporadic in most cases, but are frequently associated with chromosomal anomalies, congenital anomalies of other organ systems and syndromes, therefore the detection of such an anomaly requires precise biometry and morphological examination. Duodenal atresia and hyperechogenic bowel wall are ultrasound markers of Down syndrome. The prognosis of congenital anomalies of the gastrointestinal tract depends mostly on associated disorders, whereas the prognosis of isolated disorders is mostly good.
Summary     Pri ultrazvočnem pregledu plodove trebušne stene sta značilni dve nepravilnosti: omfalokela in gastroshiza. Omfalokela je za razliko od gastroshize pogosto pridružena drugim strukturnim in kromosomskim nepravilnostim, predvsem trisomiji 18. Najpogostejše razvojne nepravilnosti plodovih prebavil, ki jih lahko vidimo prenatalno, so atrezija požiralnika in dvanajstnika ter druge atrezije in zožitve črevesja. Razvojne nepravilnosti prebavil so v glavnem sporadične, pogosto pa so pridružene kromosomopatijam, razvojnim nepravilnostim drugih organskih sistemov in sindromom, zato odkritje takšne razvojne nepravilnosti zahteva natančno biometrijo in morfološko preiskavo. Atrezija dvanajstnika in hiperehogeno črevo sta ultrazvočna označevalca Downovega sindroma. Napoved pri razvojnih nepravilnostih prebavil je večinoma odvisna od pridruženih nepravilnosti, pri izoliranih napakah pa je v glavnem dobra.
Descriptors     ULTRASONOGRAPHY, PRENATAL
HERNIA, UMBILICAL
GASTROINTESTINAL SYSTEM
ESOPHAGEAL ATRESIA
HIRSCHSPRUNG DISEASE
PREGNANCY