Respiratory disorders in patients with omphalocele.

Semin Pediatr Surg

Pediatric Surgeon and Pediatric Intensivist, Division of Pediatric General and Thoracic Surgery, Montreal Children's Hospital, McGill University Health Centre, 1001 Decarie Boulevard, Room B04.2318, Montreal, QC H4A 3J1, Canada. Electronic address:

Published: April 2019

The respiratory difficulties experienced by infants with omphalocele are being appreciated with greater frequency. These problems represent self-limited difficulties related to omphalocele closure or are the result of severe pulmonary disease including pulmonary hypoplasia and pulmonary hypertension. Infants with giant omphalocele represent a unique group that may experience increased respiratory morbidity which may lead to chronic respiratory problems extending into childhood and adolescence. Importantly, respiratory insufficiency at birth is an independent predictor of mortality for patients with omphalocele. In this review, we will provide a summary of the respiratory difficulties experienced by patients with omphalocele as well as insight into management and surveillance.

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http://dx.doi.org/10.1053/j.sempedsurg.2019.04.008DOI Listing

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