Stomach position as an in utero predictor of neonatal outcome in left-sided diaphragmatic hernia.
An 8-year review of neonates with left-sided congenital diaphragmatic hernia who presented in severe respiratory distress at birth was retrospectively reviewed looking at stomach position, thoracic or abdominal, as a predictor of survivability. Survival was 93% with the stomach below the diaphragm compared with 29% when the stomach was thoracic in location. Stomach position may be an important early in utero predictor of high mortality in neonates with left-sided congenital diaphragmatic hernias.
Hatch
E I
EI
Department of Surgery, Children's Hospital and Medical Center, Seattle, WA.
Kendall
J
J
Blumhagen
J
J
D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis; D006548:Hernia, Diaphragmatic / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011296:Prenatal Diagnosis; D011379:Prognosis; D012189:Retrospective Studies; D013270:Stomach / Q000473:pathology*