Use of Simultaneous Nasogastric and Nasojejunal Tubes for Proximal Intestinal Atresias - A Preliminary Report

Mahajan, Jai Kumar; Yhoshu, Enono

doi:10.21699/jns.v6i2.528

Cited by 1 publication

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“…Moreover, our study revealed that the JFT group achieved earlier enteral feeding than non-JFT feeding. It has been shown that early enteral feeding is very important for patients with CDO after surgery for wound healing and general well-being [ 12 , 13 ]. Furthermore, enteral feeding also has improved the bowel peristalsis after anastomosis and reduced the complications due to parenteral nutrition [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…They all have some advantages and disadvantages [ 10 – 16 ]. For uses of jejunal feeding tubes, these are usually divided into two methods: through a TAT [ 10 , 13 ] or a post-anastomosis per-cutaneous transperitoneal JFT [ 11 ]. To the best of our knowledge, all previous studies [ 10 , 12 – 16 ], except one [ 11 ], applied the TAT and not JFT for their CDO infants during Kimura surgery.…”

Section: Discussionmentioning

confidence: 99%

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Outcomes and survival of infants with congenital duodenal obstruction following Kimura procedure with post-anastomosis jejunostomy feeding tube

et al. 2021

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Background Several modifications of the Kimura procedure for congenital duodenal obstruction (CDO) have been reported, however, their effects on the outcomes show conflicting results. Methods We compared the CDO outcomes following the Kimura procedure with and without post-anastomosis jejunostomy feeding tube (JFT). Results A total of 52 CDO neonates were involved (JFT: 13 males and 2 females vs. non-JFT: 14 males and 23 females, p = 0.0019). Time to full oral feeding was significantly earlier in the JFT than non-JFT group (14 [interquartile range (IQR), 12–15] vs. 17 [IQR, 14–22.5] days; p = 0.04). Duration of parenteral nutrition given to infants with CDO after surgery was significantly shorter in the JFT than non-JFT group (12 [IQR, 10–15] vs. 17 [IQR, 13–23] days; p = 0.031). Moreover, enteral feeding was significantly earlier in the JFT than non-JFT group (2 [IQR, 1–3.5] vs. 5 [IQR, 4–6] days; p = < 0.0001). However, the length of stay following surgery was not significantly different between groups (16 [IQR, 14–22] vs. 20 [IQR, 17–28] days; p = 0.22). Also, overall patient survival did not significantly differ between JFT (66.7%) and non-JFT patients (59.5%) (p = 0.61). Conclusion Jejunostomy feeding tube shows a beneficial effect on the time to full oral feeding, duration of parenteral nutrition and early enteral feeding in neonates with congenital duodenal obstruction after Kimura procedure.

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Section: Discussionmentioning

confidence: 99%