Transanastomotic feeding tube after an operation for duodenal atresia.
The aim of this study was to answer the question whether or not, after an operation for duodenal atresia, a transanastomotic feeding tube reduces the time to full preanastomotic feeding. The method used was a retrospective study and a prospective observation. 18 consecutive newborns with duodenal atresia, nine from each of two different centres of paediatric surgery, were studied retrospectively. The patients in one centre received a nasogastric tube and a transanastomotic feeding tube during the operation, while in the other centre only a nasogastric tube was used. Seven control patients with duodenal atresia treated postoperatively with a nasogastric tube and a transanastomotic feeding tube were prospectively observed. The main outcome measure used to compare these two groups was the time required to achieve full preanastomotic feeding.


RESULTS
The patients who were treated postoperatively with the transanastomotic feeding tube needed significantly less time to achieve full preanastomotic feeding than those with a nasogastric tube only (P < 0.001, Mann-Whitney U test).


CONCLUSIONS
The use of a transanastomotic feeding tube, after an operation for duodenal atresia, leads to earlier full preanastomotic feeding.
Arnbjörnsson
E
E
Department of Paediatric Surgery, University Hospital, Lund, Sweden. einar.arnbjornsson@telia.com
Larsson
M
M
Finkel
Y
Y
Karpe
B
B
D000714:Anastomosis, Surgical; D004380:Duodenal Obstruction / Q000151:congenital* / Q000601:surgery; D004750:Enteral Nutrition; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000601:surgery* / Q000628:therapy; D007441:Intubation, Gastrointestinal; D008297:Male; D011182:Postoperative Care; D011446:Prospective Studies; D012189:Retrospective Studies; D013997:Time Factors