Use of trans-anastomotic tubes in congenital duodenal obstruction

Space: StayCurrentMD Author: Rosie Cresner, Jonathan J Neville, Melanie Drewett, Nigel J Hall, Ahmed A Darwish Published:

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Rosie Cresner, Jonathan J Neville, Melanie Drewett, Nigel J Hall, Ahmed A Darwish

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Abstract

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

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