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Silo Versus Primary Closure for Gastroschisis

This study is currently recruiting participants. (see Contacts and Locations)
Verified January 2017 by Children's Mercy Hospital Kansas City
Information provided by (Responsible Party):
Shawn St. Peter, Children's Mercy Hospital Kansas City Identifier:
First received: January 2, 2012
Last updated: January 6, 2017
Last verified: January 2017
The objective of this study is to scientifically evaluate two different closure strategies for gastroschisis to determine if there is a difference in the two approaches.

Condition Intervention
Procedure: silo for gastroschisis
Procedure: Primary closure of gastroschisis

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Bedside Silo Versus Attempted Operative Closure for Gastroschisis

Resource links provided by NLM:

Further study details as provided by Children's Mercy Hospital Kansas City:

Primary Outcome Measures:
  • Length of hospitalization [ Time Frame: 1-6 weeks ]
    The length of time required for meeting discharge criteria

Estimated Enrollment: 100
Study Start Date: January 2012
Estimated Study Completion Date: April 2018
Estimated Primary Completion Date: January 2018 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: primary closure of gastroschisis
Attempt primary skin closure of gastroschisis shortly after birth
Procedure: Primary closure of gastroschisis
Primary closure of gastroschisis, if possible
Active Comparator: silo for gastroschisis
Surgical placement of silo over gastroschisis shortly after birth
Procedure: silo for gastroschisis
silo placed around abdominal contents in gastroschisis patients

Detailed Description:

The hypothesis is that there is no difference between bedside silo placement and operative closure in return of bowel function, ventilator dependence, or length of stay.

The primary outcome variable between the two techniques will be length of hospitalization. The likely variables will be length of time to meet discharge criteria, length of hospitalization, time to full feedings, time on mechanical ventilation and total hospital charges.


Ages Eligible for Study:   up to 2 Days   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Infants with gastroschisis

Exclusion Criteria:

  • Born prior to 34 weeks estimated gestational age
  • Another congenital anomaly influencing the respiratory status, gastrointestinal status, or the length of hospitalization and recovery.
  • Inability to get parental permission before treatment.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01506531

Contact: Shawn D St. Peter, MD 816 983-6479
Contact: Susan W Sharp, PhD 816-983-6670

United States, Missouri
Children's Mercy Hospital Recruiting
Kansas City, Missouri, United States, 64108
Contact: Shawn D St. Peter, MD    816-983-6479   
Contact: Susan W Sharp, PhD    816-983-6670   
Sponsors and Collaborators
Children's Mercy Hospital Kansas City
Principal Investigator: Shawn D St. Peter, MD Children's Mercy Hospital and Clinics
  More Information

Responsible Party: Shawn St. Peter, Associate Professor, Children's Mercy Hospital Kansas City Identifier: NCT01506531     History of Changes
Other Study ID Numbers: 11 09-156
Study First Received: January 2, 2012
Last Updated: January 6, 2017
Individual Participant Data  
Plan to Share IPD: No

Keywords provided by Children's Mercy Hospital Kansas City:
primary closure

Additional relevant MeSH terms:
Musculoskeletal Abnormalities
Musculoskeletal Diseases
Congenital Abnormalities
Hernia, Abdominal
Pathological Conditions, Anatomical processed this record on May 24, 2017