{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T18:37:40Z","timestamp":1757702260920,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Dis Child Fetal Neonatal Ed"],"accepted":{"date-parts":[[2010,4,3]]},"published-print":{"date-parts":[[2010,11]]},"abstract":"<jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>All fetuses diagnosed with \u2018absent stomach\u2019 at anomaly screening over an 8-year period were identified using the University College Hospital fetal medicine database. These were cross-referenced with records from the paediatric surgical unit at Great Ormond Street Hospital and pathology department at University College Hospital to ascertain postnatal or postmortem diagnosis and outcome in each case.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of the 84 cases identified, eight were found to have normal stomachs on subsequent antenatal scans, while 76 had persistent non-visualisation of the stomach. Underlying diagnoses included 24 gastro-intestinal tract and\/or respiratory anomalies, 22 aneuploidies, six neuromuscular syndromes, three central nervous system anomalies, seven renal anomalies and five genetic syndromes. Seven cases had no identifiable postnatal abnormalities, 26 pregnancies were terminated and nine fetuses died in utero. Of the 33 live births, eight died in the neonatal period and three died in infancy. Only 28 survived into childhood. Two patients were lost to follow up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Persistent non-visualisation of the fetal stomach in the antenatal period was associated with a wide range of underlying diagnoses. In many cases, prognosis was poor. Only 37% of pregnancies resulted in liveborn infants surviving more than 6 months. The incidence of an abnormal karyotype was 29%. Diagnosis and outcome was normal in only 9.2% of cases. We propose an algorithm for the management of persistent non-visualisation of the fetal stomach on antenatal ultrasound.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/adc.2009.179341","type":"journal-article","created":{"date-parts":[[2010,6,10]],"date-time":"2010-06-10T20:41:37Z","timestamp":1276202497000},"page":"F439-F442","source":"Crossref","is-referenced-by-count":11,"title":["Persistent non-visualisation of the fetal stomach: diagnostic and prognostic implications"],"prefix":"10.1136","volume":"95","author":[{"given":"Alastair","family":"McKelvey","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna","family":"Stanwell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naima","family":"Smeulders","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reza","family":"Nasr","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Curry","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pranav","family":"Pandya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2010,6,10]]},"reference":[{"key":"2025090511191055000_95.6.F439.1","unstructured":"Whittle MJ . Abdomen. In: Rodeck CH Whittle MJ , eds. Fetal medicine: basic science and clinical practice. 2nd edn. Chapter 34. London: Churchill Livingstone, 2009:447."},{"key":"2025090511191055000_95.6.F439.2","doi-asserted-by":"crossref","first-page":"987","DOI":"10.2214\/ajr.151.5.987","article-title":"Sonographic evaluation of the fetal stomach: significance of nonvisualization","volume":"151","author":"Pretorius","year":"1988","journal-title":"AJR Am J Roentgenol"},{"key":"2025090511191055000_95.6.F439.3","doi-asserted-by":"crossref","first-page":"827","DOI":"10.2214\/ajr.160.4.8456673","article-title":"Prognostic significance of nonvisualization of the fetal stomach by sonography","volume":"160","author":"Millener","year":"1993","journal-title":"AJR Am J Roentgenol"},{"key":"2025090511191055000_95.6.F439.4","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1148\/radiology.197.3.7480746","article-title":"Small or absent fetal stomach: prognostic significance","volume":"197","author":"McKenna","year":"1995","journal-title":"Radiology"},{"key":"2025090511191055000_95.6.F439.5","first-page":"123","article-title":"[Sonographic biometry of fetal organs]","volume":"195","author":"Wilhelm","year":"1991","journal-title":"Z Geburtshilfe Perinatol"},{"key":"2025090511191055000_95.6.F439.6","first-page":"641","article-title":"Growth of the fetal stomach in normal pregnancies","volume":"70","author":"Goldstein","year":"1987","journal-title":"Obstet Gynecol"},{"key":"2025090511191055000_95.6.F439.7","doi-asserted-by":"crossref","first-page":"663","DOI":"10.7863\/jum.1992.11.12.663","article-title":"Fetal stomach measurements: not reproducible by the same observer","volume":"11","author":"Zimmer","year":"1992","journal-title":"J Ultrasound Med"},{"key":"2025090511191055000_95.6.F439.8","doi-asserted-by":"publisher","DOI":"10.1002\/pd.1938"}],"container-title":["Archives of Disease in Childhood - Fetal and Neonatal Edition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/adc.2009.179341","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T18:43:27Z","timestamp":1757097807000},"score":1,"resource":{"primary":{"URL":"https:\/\/fn.bmj.com\/lookup\/doi\/10.1136\/adc.2009.179341"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,6,10]]},"references-count":8,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2010,10,26]]},"published-print":{"date-parts":[[2010,11]]}},"alternative-id":["10.1136\/adc.2009.179341"],"URL":"https:\/\/doi.org\/10.1136\/adc.2009.179341","relation":{},"ISSN":["1359-2998","1468-2052"],"issn-type":[{"type":"print","value":"1359-2998"},{"type":"electronic","value":"1468-2052"}],"subject":[],"published":{"date-parts":[[2010,6,10]]}}}