Use of trans-anastomotic tubes in congenital duodenal obstruction

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 simp...

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Bibliographic Details
Published in:Journal of pediatric surgery 2022-09, Vol.57 (9), p.45-48
Main Authors: Cresner, Rosie, Neville, Jonathan J, Drewett, Melanie, Hall, Nigel J, Darwish, Ahmed A
Format: Article
Language:English
Subjects:
Congenital duodenal obstruction
Duodenal atresia
Parenteral nutrition
Transanastomotic tube
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Summary: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. 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]. 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
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2022.01.049