Cargando…

Is postoperative transanastomotic feeding beneficial in neonates with congenital duodenal obstruction?

PURPOSE: We aimed to evaluate possible positive and negative effects of postoperative use of transanastomotic feeding tube (TAFT) in neonates operated for congenital duodenal obstruction (CDO). METHODS: This is a retrospective study reviewing medical records of neonates operated for CDO during 2003–...

Descripción completa

Detalles Bibliográficos
Autores principales: Treider, Martin, Engebretsen, Anders Hauge, Skari, Hans, Bjørnland, Kristin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8831256/
https://www.ncbi.nlm.nih.gov/pubmed/34910223
http://dx.doi.org/10.1007/s00383-021-05053-3
_version_ 1784648466037735424
author Treider, Martin
Engebretsen, Anders Hauge
Skari, Hans
Bjørnland, Kristin
author_facet Treider, Martin
Engebretsen, Anders Hauge
Skari, Hans
Bjørnland, Kristin
author_sort Treider, Martin
collection PubMed
description PURPOSE: We aimed to evaluate possible positive and negative effects of postoperative use of transanastomotic feeding tube (TAFT) in neonates operated for congenital duodenal obstruction (CDO). METHODS: This is a retrospective study reviewing medical records of neonates operated for CDO during 2003–2020 and comparing postoperative feeding outcomes and complications in patients with and without TAFT. Approval from the hospital’s data protection officer was obtained. RESULTS: One hundred patients, 59% girls, were included, and 37% received TAFT. Mean birth weight and gestational age were 2628 (675.1) grams and 36.6 (2.4) weeks, respectively. Furthermore, 45% had no other malformations, and 36% had Down syndrome. Patient demographics were similar for TAFT and not-TAFT patients, except that not-TAFT neonates weighed median 335 g less (p = 0.013). The TAFT group got parenteral nutrition 2 days shorter (p < 0.001) and started enteral feeds 1.5 days earlier (p < 0.001) than the not-TAFT group. Fewer neonates with TAFT got a central venous catheter [65 vs 89%, (p = 0.008)]. In the TAFT group, 67% were breast fed at discharge compared to 49% in the not-TAFT group (p = 0.096). CONCLUSION: Neonates with TAFT had earlier first enteral feed, fewer days with parenteral nutrition and fewer placements of central venous catheters.
format Online
Article
Text
id pubmed-8831256
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Springer Berlin Heidelberg
record_format MEDLINE/PubMed
spelling pubmed-88312562022-02-23 Is postoperative transanastomotic feeding beneficial in neonates with congenital duodenal obstruction? Treider, Martin Engebretsen, Anders Hauge Skari, Hans Bjørnland, Kristin Pediatr Surg Int Original Article PURPOSE: We aimed to evaluate possible positive and negative effects of postoperative use of transanastomotic feeding tube (TAFT) in neonates operated for congenital duodenal obstruction (CDO). METHODS: This is a retrospective study reviewing medical records of neonates operated for CDO during 2003–2020 and comparing postoperative feeding outcomes and complications in patients with and without TAFT. Approval from the hospital’s data protection officer was obtained. RESULTS: One hundred patients, 59% girls, were included, and 37% received TAFT. Mean birth weight and gestational age were 2628 (675.1) grams and 36.6 (2.4) weeks, respectively. Furthermore, 45% had no other malformations, and 36% had Down syndrome. Patient demographics were similar for TAFT and not-TAFT patients, except that not-TAFT neonates weighed median 335 g less (p = 0.013). The TAFT group got parenteral nutrition 2 days shorter (p < 0.001) and started enteral feeds 1.5 days earlier (p < 0.001) than the not-TAFT group. Fewer neonates with TAFT got a central venous catheter [65 vs 89%, (p = 0.008)]. In the TAFT group, 67% were breast fed at discharge compared to 49% in the not-TAFT group (p = 0.096). CONCLUSION: Neonates with TAFT had earlier first enteral feed, fewer days with parenteral nutrition and fewer placements of central venous catheters. Springer Berlin Heidelberg 2021-12-15 2022 /pmc/articles/PMC8831256/ /pubmed/34910223 http://dx.doi.org/10.1007/s00383-021-05053-3 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Treider, Martin
Engebretsen, Anders Hauge
Skari, Hans
Bjørnland, Kristin
Is postoperative transanastomotic feeding beneficial in neonates with congenital duodenal obstruction?
title Is postoperative transanastomotic feeding beneficial in neonates with congenital duodenal obstruction?
title_full Is postoperative transanastomotic feeding beneficial in neonates with congenital duodenal obstruction?
title_fullStr Is postoperative transanastomotic feeding beneficial in neonates with congenital duodenal obstruction?
title_full_unstemmed Is postoperative transanastomotic feeding beneficial in neonates with congenital duodenal obstruction?
title_short Is postoperative transanastomotic feeding beneficial in neonates with congenital duodenal obstruction?
title_sort is postoperative transanastomotic feeding beneficial in neonates with congenital duodenal obstruction?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8831256/
https://www.ncbi.nlm.nih.gov/pubmed/34910223
http://dx.doi.org/10.1007/s00383-021-05053-3
work_keys_str_mv AT treidermartin ispostoperativetransanastomoticfeedingbeneficialinneonateswithcongenitalduodenalobstruction
AT engebretsenandershauge ispostoperativetransanastomoticfeedingbeneficialinneonateswithcongenitalduodenalobstruction
AT skarihans ispostoperativetransanastomoticfeedingbeneficialinneonateswithcongenitalduodenalobstruction
AT bjørnlandkristin ispostoperativetransanastomoticfeedingbeneficialinneonateswithcongenitalduodenalobstruction