Trans-anastomotic tube feeding in the management of congenital duodenal obstruction: a systematic review and meta-analysis

Biradar, Netravati; Gera, Parshotam; Rao, Shripada

doi:10.1007/s00383-021-04954-7

Cited by 8 publications

(18 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As evidence for the advantages and disadvantages of TAFT is limited [ 13 ], the present study aims to gain more knowledge about the effects of TAFT in neonates undergoing surgical treatment for CDO. The main aim was to investigate whether patients with TAFT had fewer postoperative days with PN.…”

Section: Introductionmentioning

confidence: 99%

Is postoperative transanastomotic feeding beneficial in neonates with congenital duodenal obstruction?

et al. 2021

View full text Add to dashboard Cite

Purpose We aimed to evaluate possible positive and negative effects of postoperative use of transanastomotic feeding tube (TAFT) in neonates operated for congenital duodenal obstruction (CDO). Methods This is a retrospective study reviewing medical records of neonates operated for CDO during 2003–2020 and comparing postoperative feeding outcomes and complications in patients with and without TAFT. Approval from the hospital’s data protection officer was obtained. Results One hundred patients, 59% girls, were included, and 37% received TAFT. Mean birth weight and gestational age were 2628 (675.1) grams and 36.6 (2.4) weeks, respectively. Furthermore, 45% had no other malformations, and 36% had Down syndrome. Patient demographics were similar for TAFT and not-TAFT patients, except that not-TAFT neonates weighed median 335 g less (p = 0.013). The TAFT group got parenteral nutrition 2 days shorter (p < 0.001) and started enteral feeds 1.5 days earlier (p < 0.001) than the not-TAFT group. Fewer neonates with TAFT got a central venous catheter [65 vs 89%, (p = 0.008)]. In the TAFT group, 67% were breast fed at discharge compared to 49% in the not-TAFT group (p = 0.096). Conclusion Neonates with TAFT had earlier first enteral feed, fewer days with parenteral nutrition and fewer placements of central venous catheters.

show abstract

Section: Introductionmentioning

confidence: 99%

Is postoperative transanastomotic feeding beneficial in neonates with congenital duodenal obstruction?

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Some interesting studies also report use of trans-anastomotic (TAT) or trans-pyloric feeding, in congenital duodenal disorders [12,13,14]. A systematic review and meta-analysis however conducted in 2021 revealed insigni cant differences in the time taken to achieve full feeds between TAT and non-TAT showing also similar outcomes to an earlier study we have previously reported [12,15].…”

Section: Discussionmentioning

confidence: 60%

Postoperative Feeding In Neonatal Duodenal Obstruction

Aroonsaeng

Losty

Thanachatchairattana

2022

Preprint

View full text Add to dashboard Cite

Background Findings from manometry studies and contrast imaging reveal functioning gastric physiology in newborns with duodenal atresia and stenosis. Stomach reservoir function should therefore be valuable in aiding the postoperative phase of gastric feeding. The aim of this study was therefore to compare the feasibility of initiating oral or large volume(s) gavage feeds vs small volume bolus feeds following the operation for congenital duodenal anomalies. Methods Single-center electronic medical records of all babies with duodenal atresia and stenosis admitted to a university surgical center during January 1997 - September 2021 were analyzed. A fast-fed group (FF) included newborns fed with oral or gavage feeds advanced at a rate of at least 2.5 ml/kg and then progressed more than once a day vs slow-fed group (SF) fed with gavage feeds at incremental rate less than 2.5 ml/kg/day for each time period of oral tolerance or by drip feeds. Total feed volume was limited to 120–150 ml/kg/day in the respective study cohort populations. Results 51 eligible patients were recruited in the study - twenty-six in FF group and twenty-five in SF group. Statistically significant differences were observed in the ( i ) date of first oral feeds (POD 7.7 ± 3.2 vs 16.1 ± 7.7: p < 0.001) and ( ii ) first full feeds (POD 12.5 ± 5.3 vs 18.8 ± 9.7: p < 0.01) in FF vs SF study groups. Conclusion Initial feeding schedules with oral or incremental gavage-fed rates of at least 2.5 ml/kg in stepwise increments and multi-steps per day is wholly feasible in the postoperative feeding regimens of neonates with congenital duodenal disorders. Significant health benefits are thus achievable in these infants allowing an earlier time to acquiring full enteral feeding and their hospital discharge.

show abstract

“…day of operation) instead of hospital stay. The shorter time to hospital discharge were notably significant in the FF study cohort group (14 (12,25), 20(16,32): p = 0.025).…”

Section: Resultsmentioning

confidence: 89%

“…Some interesting studies also report on use of trans-anastomotic (TAT) or trans-pyloric feeding, in congenital duodenal disorders [ 12 – 14 ]. A systematic review and meta-analysis published in 2021; however, revealed insignificant differences in the time(s) taken to achieve full feeds between TAT and non-TAT fed groups showing here also similar outcomes to an earlier study we have previously reported [ 12 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

Postoperative feeding in neonatal duodenal obstruction

2022

View full text Add to dashboard Cite

Background Findings from manometry studies and contrast imaging reveal functioning gastric physiology in newborns with duodenal atresia and stenosis. Stomach reservoir function should therefore be valuable in aiding the postoperative phase of gastric feeding. The aim of this study was therefore to compare the feasibility of initiating oral or large volume(s) gavage feeds vs small volume bolus feeds following operation for congenital duodenal anomalies. Methods Single-center electronic medical records of all babies with duodenal atresia and stenosis admitted to a university surgical center during January 1997–September 2021 were analyzed. A fast-fed group (FF) included newborns fed with oral or gavage feeds advanced at a rate of at least 2.5 ml/kg and then progressed more than once a day vs slow-fed group (SF) fed with gavage feeds at incremental rate less than 2.5 ml/kg/day for each time period of oral tolerance or by drip feeds. Total feed volume was limited to 120–150 ml/kg/day in the respective study cohort populations. Results Fifty-one eligible patients were recruited in the study - twenty-six in FF group and twenty-five in SF group. Statistically significant differences were observed in the (i) date of first oral feeds (POD 7.7 ± 3.2 vs 16.1 ± 7.7: p < 0.001), and (ii) first full feeds (POD 12.5 ± 5.3 vs 18.8 ± 9.7: p < 0.01) in FF vs SF study groups. Conclusion Initial feeding schedules with oral or incremental gavage-fed rates of at least 2.5 ml/kg in stepwise increments and multi-steps per day is wholly feasible in the postoperative feeding regimens of neonates with congenital duodenal disorders. Significant health benefits are thus achievable in these infants allowing an earlier time to acquiring full enteral feeding and their hospital discharge.

show abstract

Trans-anastomotic tube feeding in the management of congenital duodenal obstruction: a systematic review and meta-analysis

Cited by 8 publications

References 19 publications

Is postoperative transanastomotic feeding beneficial in neonates with congenital duodenal obstruction?

Is postoperative transanastomotic feeding beneficial in neonates with congenital duodenal obstruction?

Postoperative Feeding In Neonatal Duodenal Obstruction

Postoperative feeding in neonatal duodenal obstruction

Contact Info

Product

Resources

About