Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Jul;56(7):1097-1100.
doi: 10.1111/jpc.14825. Epub 2020 Feb 19.

Antenatal predictors of intestinal pathologies in fetal bowel dilatation

Lan Huang  1 , Danping Huang  1 , Hongying Wang  1 , Xiangxiang Zhang  1 , Hongkui Yu  1 , Pan Yang  1
Affiliations

Antenatal predictors of intestinal pathologies in fetal bowel dilatation

Lan Huang et al. J Paediatr Child Health. 2020 Jul.

Abstract

Aim: Fetal bowel dilatation (FBD) in the late trimester of pregnancy can be related with varies of prognosis. Our aims were to obtain antenatal factors that might have relevance for the distinct prognosis with FBD.

Methods: Seven features of 68 pregnancies presented with FBD were assessed. The best cut-off value to predict intestinal outcomes was selected using receiver-operating characteristics curves, and the effective variables were included into a logistic regression model.

Results: The best cut-off valves to predict intestinal pathologies were 14.5 mm of fetus dilated loop and 37.7 weeks of gestational age at delivery, respectively. The congenital gastrointestinal tract anomalies included 24 cases (92.3%) of intestine atresia, 1 case (3.85%) of small intestine volvulus and 1 case (3.85%) of midgut malrotation.

Conclusion: Fetal dilated loops and gestational age at delivery are both an independent risk factor for predicting intestinal pathologies of newborns, which should arouse high attention.

Keywords: antenatal predictor; fetal bowel dilatation; intestinal pathologies; third trimester; ultrasound.

PubMed Disclaimer

References

    1. Jo YS, Jang DG, Nam SY, Choi SK, Shin JC, Lee G. Antenatal sonographic features of ileal atresia. J. Obstet. Gynaecol. Res. 2012; 38: 215-9.
    1. John R, D'Antonio F, Khalil A, Bradley S, Giuliani S. Diagnostic accuracy of prenatal ultrasound in identifying jejunal and ileal atresia. Fetal Diagn. Ther. 2015; 38: 142-6.
    1. Ruiz MJ, Thatch KA, Fisher JC, Simpson LL, Cowles RA. Neonatal outcomes associated with intestinal abnormalities diagnosed by fetal ultrasound. J. Pediatr. Surg. 2009; 44: 71-5.
    1. Silva P, Reis F, Alves P, Farinha L, Gomes MS, Câmara P. Fetal bowel dilatation: A sonographic sign of uncertain prognosis. Case Rep. Obstet. Gynecol. 2015; 2015: 1-4.
    1. Almaramhy HH. Jejunal atresia associated with jejunal diverticulosis. J. Pediatr. Surg. Case Rep. 2018; 32: 68-71.

LinkOut - more resources