Correlation analysis of feeding intolerance and defecation after primary anastomosis for neonatal intestinal atresia
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In brief
In brief
This retrospective study of 114 neonates identifies defecation patterns as key predictors of feeding intolerance following primary anastomosis for intestinal atresia. Preterm infants face higher risk, and monitoring postoperative bowel movements can guide optimal timing for initiating feeds and predict gastrointestinal recovery.
Written by the GCMD Library team from the article.
Abstract
Purpose
To investigate the correlation between postoperative feeding intolerance and defecation, with a view to carrying out prognostic assessment and timely intervention for the recovery of postoperative gastrointestinal function.
Methods
The 114 neonates with congenital intestinal atresia who underwent primary anastomosis admitted to Shenzhen Children's Hospital from January 2014 to December 2022 were studied, and the patients' basic information, intraoperative conditions, postoperative feeding and defecation, and hospitalization time were retrospectively analyzed.
Results
The risk factors for feeding intolerance after primary anastomosis for intestinal atresia are the gestational days, the time of the first postoperative defecations, the number of defecations on the previous day and the average number of defecations before feeding.
Conclusion
The incidence of postoperative feeding intolerance is higher in preterm infants, and pediatricians can decide the timing of breastfeeding on the basis of the patients’ defecation. The focus on accurate defecation may be more meaningful in determining and predicting postoperative feeding intolerance in the infants.