Gastroschisis, atresia, dysmotility: surgical treatment strategies for a distinct clinical entity.

Purpose: Intestinal atresia (IA) occurs in 10% to 20% of infants born with gastroschisis (GS). We describe a distinct subset of these children with severe dysmotility, without mechanical intestinal obstruction, and with adequate intestinal length for enteral nutrition and propose possible treatment strategies.

Methods: A total of 177 patients with GS managed at a single institution between 1993 and 2007 were retrospectively reviewed.