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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

TitleIsolated 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
Authors
KeywordsTwin-to-twin transfusion syndrome
Fetoscopic laser ablation
Jejunal atresia
Ileal atresia
Necrotising enterocolitis
Issue Date2018
PublisherS 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, p. 285-294 How to Cite?
AbstractBackground/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
DescriptionLink to Free access
Persistent Identifierhttp://hdl.handle.net/10722/277739
ISSN
2017 Impact Factor: 1.813
2015 SCImago Journal Rankings: 1.901

 

DC FieldValueLanguage
dc.contributor.authorTan, LN-
dc.contributor.authorCheung, KW-
dc.contributor.authorPhilip, I-
dc.contributor.authorOng, S-
dc.contributor.authorKilby, MD-
dc.date.accessioned2019-10-04T08:00:22Z-
dc.date.available2019-10-04T08:00:22Z-
dc.date.issued2018-
dc.identifier.citationFetal Diagnosis and Therapy: clinical advances and basic research, 2018, v. 45, p. 285-294-
dc.identifier.issn1015-3837-
dc.identifier.urihttp://hdl.handle.net/10722/277739-
dc.descriptionLink to Free access-
dc.description.abstractBackground/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.languageeng-
dc.publisherS Karger AG. The Journal's web site is located at http://www.karger.com/FDT-
dc.relation.ispartofFetal Diagnosis and Therapy: clinical advances and basic research-
dc.rightsFetal Diagnosis and Therapy: clinical advances and basic research. Copyright © S Karger AG.-
dc.rightsThis 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.subjectTwin-to-twin transfusion syndrome-
dc.subjectFetoscopic laser ablation-
dc.subjectJejunal atresia-
dc.subjectIleal atresia-
dc.subjectNecrotising enterocolitis-
dc.titleIsolated 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.typeArticle-
dc.identifier.emailCheung, KW: kawang@HKUCC-COM.hku.hk-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1159/000494616-
dc.identifier.pmid30554214-
dc.identifier.scopuseid_2-s2.0-85058815834-
dc.identifier.hkuros306811-
dc.identifier.volume45-
dc.identifier.spage285-
dc.identifier.epage294-
dc.publisher.placeSwitzerland-

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