RESULTS
gastroschisis
HEMODYNAMIC INSTABILITY, GASTROSCHISIS
In the period from March 2019 to July 2022, 101 NBs were eligible, of which 50 were
excluded, as shown in the study flowchart. Fifty-one newborns were randomized, 25
into the sham procedure group and 26 into the colostrum intervention group (
Study flowchart.The maternal and neonatal demographic characteristics of the study population are
described in Maternal and newborn characteristics with simple gastroschisis in the
neonatal period Kruskal-Wallis test; † Fisher's exact test. SD - standard
deviation.Regarding the surgical aspects of gastroschisis, there were also no significant
differences between the groups. Most newborns did not use a silo (60%). When used,
the average time of use was 4 days, which can be explained by the size of the
defect, ranging from 1.5 to 5.0cm, or because of hemodynamic instability during the
reduction of intestinal loops. Surgical correction occurred within the first 6 hours
of life, with a median of 5 hours, but the size of the defect in centimeters was
greater in the control group (Surgical characteristics of infants with simple gastroschisis in the study
population Kruskal-Wallis test; †Fisher's exact test. SD - standard
deviation.According to the evaluation of the pediatric surgeon, the appearance of bowel loops
was classified as “good” at birth in 73.1% of the NBs in the control group and 64%
of the NBs in the intervention group (p = 0.55). Primary surgical closure was
performed in 34 NBs, while 17 underwent staged closure, with the silo being the
first surgical approach, with a median of 3 surgical approaches until completion of
abdominal wall closure.The onset of oral feeding in patients with simple gastroschisis in both groups
occurred at a median of 15 days (Neonatal outcome of infants with simple gastroschisis in the study
population Kruskal-Wallis test; † enteral feeding = control group (n = 11),
intervention group (n = 9); ‡Suction only = control group (n =
19), intervention group (n = 18). SD - standard deviation.Regarding the reason for feeding interruption, as shown in 
