Standardization of Reference Values for Fetal Gastric Size in Normal Gesta | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 133, Volume 90, Issue 2, January 2023, Pages 2874-2888 PDF (1.14 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2023.287827 | ||
| Authors | ||
| Waleed Abd Elfattah Mousa; Reham Sayed Ahmed Mohamed ElGendy* ; Tarek Fawzy Abd Ella | ||
| Abstract | ||
| Background: On ultrasound, the stomach may be seen in the fetal abdomen's left upper quadrant as an echolucent organ. At around 14 weeks of gestation, the larger and lesser curvatures, the fundus, the body, and the pylorus can all be seen as part of the stomach's distinctive structure. Numerous malformations and a poor fetal outcome can be linked to a fetal stomach that is non-visualized, dilated, or even tiny. Objectives: The aim of the current study was to establish standardized reference values for fetal stomach size throughout normal pregnancy as demonstrated during routine antenatal ultrasonography. Patients and methods: This was a longitudinal multicentric study of 260 normal singleton Pregnancies, sonographic evaluation was carried out between the 14th and 40th weeks of gestation. The pregnant women entered the study during the period from January 2020 to October 2022 and were evaluated in the unit of ultrasonography of Menoufia University Hospitals. Results: Fetal gastric area was found more significant correlated with gastric circumference (r=0.991, P-value <0.001) and gastric volume (r=0.988, P-value <0.001), however fetal gastric area was found less significant correlated with gestational age (r=0.962, P-value <0.001) and gastric longitudinal diameter (r=0.968, P-value <0.001). Fetal gastric area was more significant correlated with abdominal volume (r=0.928, P-value <0.001) and abdominal area (r=0.914, P-value <0.001), however fetal gastric area was less significant correlated with Abdominal longitudinal (r=0.863, P-value <0.001) and abdominal anterior posterior diameter (r=0.866, P-value <0.001). Conclusions: In a healthy pregnancy, fetal stomach dimensions are correlated with gestational age, and a nomogram of fetal gastric development may be helpful in determining if the fetus is developing normally and whether any digestive system abnormalities exist. | ||
| Keywords | ||
| Fetal abdomen; Fetal gastric size; Fetal stomach\abdomen ratio; Gastric area; Normal gestation | ||
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