Is postoperative transanastomotic feeding beneficial in neonates with congenital duodenal obstruction?
Topic overview
Retrospective study of 100 neonates with congenital duodenal obstruction shows transanastomotic feeding tubes enable earlier enteral feeding, reduce parenteral nutrition duration by 2 days, and decrease central line placement compared to standard management. Benefits observed despite lower birth weight in the non-TAFT group.
Key takeaways
- Transanastomotic feeding tubes after CDO repair reduced parenteral nutrition duration by 2 days and enabled enteral feeds 1.5 days earlier
- TAFT use decreased central venous catheter placement from 89% to 65%, potentially reducing line-associated complications
- Breastfeeding rates at discharge trended higher with TAFT (67% vs 49%), though not statistically significant
- Study included diverse CDO population: 36% had Down syndrome, 45% had isolated CDO, mean gestational age 36.6 weeks
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