Gastroschisis vs Omphalocele (Easy to Understand)

The differences between gastroschisis and omphalocele in 5 minutes.
For a thorough understanding, watch this video on the development of the gastrointestinal system (especially the part about physiological umbilical herniation):
- • Embryology of the GIT ... .
If you are completely new to embryology and you want to understand it quickly, this should be the first video you watch:
- • Introduction to Embryo...
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Easy Embryology is a book that is dedicated to the simplification of embryology. It is available at drminass.com/product/easyembr.... Contact Dr. Minass for more information.
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Below are some notes for your study - I go beyond this video to explain the embryology of the face.
SUMMARY FOR YOUR NOTES:
Omphalocele
- Herniation of the abdominal contents through an enlarged umbilical opening
- Contents includes liver, intestines, stomach, spleen, gallbladder, all of which are covered by the amnion
- Defect occurs when there is a failure of the bowel to return to the body cavity during physiological herniation
- Physiological herniation is a “normal” type of herniation in the development of the GIT where the intestines rotates outside of the body cavity since there is not enough room for them to grow, subsequent enlargement of the body cavity allows the ingress of the intestines back into the body
- 2.5 in 10000 and associated with 25% mortality, severe anomalies including neural tube defects and cardiac defects
- Can be detected by US and associated with elevated AFP
- Some associations with chromosomal abnormalities
Gastroschisis
- Protrusion of the abdominal contents, directly through the body wall into the amniotic cavity and this is why they are not covered by amnion
- Does not involve the umbilicus, but is usually occurring to the right of it.
- It is due to a failure of normal closure of the body wall around the connecting stalk
- Since the protruding organs are not covered by peritoneum or amnion, the bowel may be injured easily by the amniotic fluid
- Not associated with chromosome abnormalities, or other severe defects and thus has improved survival rate compared to omphalocele
- However these babies are prone to volvulus and subsequent ischaemic gut which may lead to death
- Most common in babies born by thin young women less than 20 years
- Can be picked up by US
- Elevated afp

[@SG333_]

Embryology can be so complex to understand but you teach it so well! This video is fantastic - THANK YOU!!!

[@aliakberrajani3425]

I swear I get palpitations from the excitement of finally understanding embryology. Dr Minass I'm sending a rib-breaking tight hug your way. Jzk for all your efforts

[@minass]

Hug back to you my friend

[@SandraRauh-iv6mp]

Love this explanation!

[@tanmayaacharya3917]

how sincere u are in teaching . Grt .

[@chideranwosu5396]

You're making so much impact...you have no idea
Thank you so much sir❤️

[@morrenmbilinyi3545]

This is soo well put and nicely explained thank you 🙏🙂

[@tanmayaacharya3917]

U are an angel for the students . God bless u .

[@doctorsurgeon2433]

Excellent 🌷🌷

[@sebastianromero7734]

this makes so much sense now!!!!! thank you!!

[@minass]

Very welcome!

[@overhaul4578]

Appreciate your videos please keep them coming 👍

[@minass]

Thank you, and will do

[@helenakobren1993]

Thanks a lot for this video! I had a presentation today about this subject and I was really good, with a little help from your videos (I watched a good amount)

[@minass]

Nicely done, all the best and thanks for watching

[@abdulkareemabaniwonda6763]

Thank you so much. Dr. Minass 💯

[@minass]

Thank you kindly for watching!

[@cr_y_p_to]

🎉🎉🎉 keep the work

[@wakiliothniel2539]

I've had difficulty remembering which one is in the sac and which is protrusion from the abdominal wall, but the O and g depiction has permanently clarifed that for me.
Thank you Doc

[@minass]

very welcome

[@morad.mo.]

Your explanation is excellent..♥️👍🏻
Thank you doctor 💚

[@minass]

My pleasure

[@HabibKhan-kz1tx]

You are great sir...
Love from Pakistan 🇵🇰🇵🇰

[@shadowgames7409]

Am having my exam 6hrs from now and wow this is high yield data 🤝

[@RFN871]

Thanks alot Doctor , from IRAQ 😻

[@minass]

Very welcome!

[@winaim.4296]

Great🙂

[@minass]

Thanks Winai

[@saadvashraf3217]

Can you pls tell me why peritoneum doesn't cover abdominal contents in gastroschisis?

[@aadilrasheed2984]

Please mention the exact causes of gastroshsis

[@dhruvpalprajapati]

Why bowel herniation in right side present in gastroschisis?

[@spd1000]

❤

[@RFN871]

😻😍

[@minass]

😊

[@sureshmahato9765]

Yah theek hone ki koi sambhavna