Use of trans-anastomotic tubes in congenital duodenal obstruction
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In brief
In brief
Retrospective study of 96 neonates with congenital duodenal obstruction found that transanastomotic feeding tubes enabled significantly earlier enteral feeding (6 vs 10 days) compared to standard management. This simple intervention may reduce complications and hospital stay in this population.
Written by the GCMD Library team from the article.
Aim
: Despite data to suggest benefit of trans- anastomotic tube (TAT) feeding in infants following repair of congenital duodenal obstruction (CDO), TAT usage is limited. We aimed to report a large series of infants with CDO treated with or without TAT in order to improve the evidence underlying this simple intervention.
Method
: Single centre retrospective review of all infants CDO over a 20-year period (January 1999 – November 2020, inclusive). Important outcomes were compared between infants treated with or without TAT. Data are median [IQR].
Results
: Ninety-six infants were included. A TAT was placed in 54 infants (56%). Median time to full enteral feed was significantly shorter in the TAT group (6 [5-8] days vs 10 [7.5-12], p