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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–...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2021
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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 |
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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 |
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