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- Scopus: eid_2-s2.0-85058815834
- PMID: 30554214
- WOS: WOS:000468262300001
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Article: Isolated Ascites in a Monochorionic Twin after Fetoscopic Laser Ablation Is Not Necessarily Secondary to Recurrence or Anaemia: Bowel Complications in Twin-to-Twin Transfusion Syndrome after Fetoscopic Laser Ablation
Title | Isolated Ascites in a Monochorionic Twin after Fetoscopic Laser Ablation Is Not Necessarily Secondary to Recurrence or Anaemia: Bowel Complications in Twin-to-Twin Transfusion Syndrome after Fetoscopic Laser Ablation |
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Authors | |
Keywords | Twin-to-twin transfusion syndrome Fetoscopic laser ablation Jejunal atresia Ileal atresia Necrotising enterocolitis |
Issue Date | 2018 |
Publisher | S Karger AG. The Journal's web site is located at http://www.karger.com/FDT |
Citation | Fetal Diagnosis and Therapy: clinical advances and basic research, 2018, v. 45 n. 5, p. 285-294 How to Cite? |
Abstract | Background/Purpose: We report a case study of jejunal atresia and the results of a systematic literature review of all reported cases of bowel complications occurring after fetoscopic laser ablation (FLA) for the treatment of twin-to-twin transfusion syndrome (TTTS). Methods: A systematic literature review was performed of bowel complications after FLA for TTTS according to PRISMA guidelines. Results: There are 11 published cases of small bowel atresia, 5 cases of necrotising enterocolitis (NEC), and 2 cases with foetal bowel perforations. Recipient twins were more likely to be affected by small bowel atresia (7 recipient and 4 donor cases) and NEC (3 recipient and 2 donor twins). Prenatal ultrasonographic abnormalities were demonstrated in 7 out of 9 cases with bowel atresia and in both cases of bowel perforation. The overall survival rate for neonates with bowel complications after FLA is 72%, but is much lower for co-twins at 22%. The survival rates for jejunoileal atresia and NEC are 91 and 40%, respectively. Conclusions: It is uncertain as to whether these bowel anomalies are due to bowel ischaemia associated with TTTS, the treatment with FLA, or a combination of both. Cases with prenatal abdominal ultrasonographic abnormalities after FLA should have close prenatal and postnatal assessment to detect bowel complications.
© 2018 S. Karger AG, Basel |
Description | Link to Free access |
Persistent Identifier | http://hdl.handle.net/10722/277739 |
ISSN | 2023 Impact Factor: 1.6 2023 SCImago Journal Rankings: 0.767 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Tan, LN | - |
dc.contributor.author | Cheung, KW | - |
dc.contributor.author | Philip, I | - |
dc.contributor.author | Ong, S | - |
dc.contributor.author | Kilby, MD | - |
dc.date.accessioned | 2019-10-04T08:00:22Z | - |
dc.date.available | 2019-10-04T08:00:22Z | - |
dc.date.issued | 2018 | - |
dc.identifier.citation | Fetal Diagnosis and Therapy: clinical advances and basic research, 2018, v. 45 n. 5, p. 285-294 | - |
dc.identifier.issn | 1015-3837 | - |
dc.identifier.uri | http://hdl.handle.net/10722/277739 | - |
dc.description | Link to Free access | - |
dc.description.abstract | Background/Purpose: We report a case study of jejunal atresia and the results of a systematic literature review of all reported cases of bowel complications occurring after fetoscopic laser ablation (FLA) for the treatment of twin-to-twin transfusion syndrome (TTTS). Methods: A systematic literature review was performed of bowel complications after FLA for TTTS according to PRISMA guidelines. Results: There are 11 published cases of small bowel atresia, 5 cases of necrotising enterocolitis (NEC), and 2 cases with foetal bowel perforations. Recipient twins were more likely to be affected by small bowel atresia (7 recipient and 4 donor cases) and NEC (3 recipient and 2 donor twins). Prenatal ultrasonographic abnormalities were demonstrated in 7 out of 9 cases with bowel atresia and in both cases of bowel perforation. The overall survival rate for neonates with bowel complications after FLA is 72%, but is much lower for co-twins at 22%. The survival rates for jejunoileal atresia and NEC are 91 and 40%, respectively. Conclusions: It is uncertain as to whether these bowel anomalies are due to bowel ischaemia associated with TTTS, the treatment with FLA, or a combination of both. Cases with prenatal abdominal ultrasonographic abnormalities after FLA should have close prenatal and postnatal assessment to detect bowel complications. © 2018 S. Karger AG, Basel | - |
dc.language | eng | - |
dc.publisher | S Karger AG. The Journal's web site is located at http://www.karger.com/FDT | - |
dc.relation.ispartof | Fetal Diagnosis and Therapy: clinical advances and basic research | - |
dc.rights | Fetal Diagnosis and Therapy: clinical advances and basic research. Copyright © S Karger AG. | - |
dc.rights | This is the peer-reviewed but unedited manuscript version of the following article: [insert full citation, e.g., Cytogenet Genome Res 2014;142:227–238 (DOI: 10.1159/000361001)]. The final, published version is available at http://www.karger.com/?doi=[insert DOI number]. OR This is the un-reviewed and unedited manuscript version of the following article: [insert full citation, e.g., Cytogenet Genome Res 2014;142:227–238 (DOI: 10.1159/000361001)]. The final, published version is available at http://www.karger.com/?doi=[insert DOI number]. | - |
dc.subject | Twin-to-twin transfusion syndrome | - |
dc.subject | Fetoscopic laser ablation | - |
dc.subject | Jejunal atresia | - |
dc.subject | Ileal atresia | - |
dc.subject | Necrotising enterocolitis | - |
dc.title | Isolated Ascites in a Monochorionic Twin after Fetoscopic Laser Ablation Is Not Necessarily Secondary to Recurrence or Anaemia: Bowel Complications in Twin-to-Twin Transfusion Syndrome after Fetoscopic Laser Ablation | - |
dc.type | Article | - |
dc.identifier.email | Cheung, KW: kawang@HKUCC-COM.hku.hk | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1159/000494616 | - |
dc.identifier.pmid | 30554214 | - |
dc.identifier.scopus | eid_2-s2.0-85058815834 | - |
dc.identifier.hkuros | 306811 | - |
dc.identifier.volume | 45 | - |
dc.identifier.issue | 5 | - |
dc.identifier.spage | 285 | - |
dc.identifier.epage | 294 | - |
dc.identifier.isi | WOS:000468262300001 | - |
dc.publisher.place | Switzerland | - |
dc.identifier.issnl | 1015-3837 | - |