Mucous Fistula Refeeding

This is Todd Ponsky from the Journal of Pediatric Surgery, and today we are in Chihuahua, Mexico, at the 49th annual Mexican Congress of Pediatric Surgeons. The academic coordinator is Dr. Jorge Cantu, who invited us here. Jorge, thank you for having us. It's a pleasure for us. And, uh, today we're gonna have a special guest doing the journal review, Dr. Miguel Gilfon from Santiago, Chile. Happy to be here, Todd, and thank you for the invitation. Today we're going to review the paper called Mucous Fistular Refeeding Decreases Parenteral Nutrition Exposure in Post-Surgical Premature Neonates, done by Colin Goth and senior author Howard Pryor. This is a retrospective study with two arms. One arm, the neonates have the stoma and a mucous fistula, and the other arm has stoma, no mucous fistula, or wasn't refeeding in the arm. So, basically, it's a paper saying that if you start refeeding patients through the mucous fistula, they get sooner off TPN and can have a reconstruction surgery, uh, sooner as well. Miguel, I thought that was a really cool paper. I don't do mucous fistula refeeding, but now I may. Do you do mucous fistula refeeding in Monterey? Usually not. No, would you do it now? Maybe in my next case, maybe yes. What about you? This is a it's a good paper. Uh, we have done it in in bigger patients, in neonate, but not preterms. And if if the data is okay, I think it's a great thing for the neonates to get off the TPN sooner and get a reconstruction uh sooner than the others, so it's good. I agree. I thought it was a great paper. Well, thank you very much. We hope you enjoyed this review. We'll see you next time.