Publication: Role of Transanastomotic Feeding Tube versus Early Gastric Feeding in Postoperative Duodenal Surgery
Issued Date
2021-12-01
Resource Type
ISSN
01252208
Other identifier(s)
2-s2.0-85122642460
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.104, No.12 (2021), S38-S41
Suggested Citation
Dolrudee Aroonsaeng, Sumate Teeraratkul, Sani Molagool, Chollasak Thirapattaraphan, Pornsri Thanachatchairattana Role of Transanastomotic Feeding Tube versus Early Gastric Feeding in Postoperative Duodenal Surgery. Journal of the Medical Association of Thailand. Vol.104, No.12 (2021), S38-S41. doi:10.35755/jmedassocthai.2021.S05.00068 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/77421
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
Role of Transanastomotic Feeding Tube versus Early Gastric Feeding in Postoperative Duodenal Surgery
Other Contributor(s)
Abstract
Background: Postoperative enteral feeding in congenital duodenal obstruction is usually delayed due to dilated atonic duodenum. The trans-anastomotic tube feeding (TAT) has been proposed to be more effective than early gastric feeding in the role of supporting “Enhanced recovery after surgery concept”. Objective: Comparing time to feeding among patients using TAT, early gastric feeding, and traditional delayed gastric feeding. Materials and Methods: Comparing postoperative enteric feeding via TAT (group A: n=7) and gastric feeding (group B: n=6) - prospective data collected from 2015 to 2020 - to traditional gastric feeding (group C: n=17) that is retrospective data from 2008 to 2015, in neonates with congenital duodenal obstruction. Results: TAT and early gastric (OG) feedings had provided earlier enteral feeding compared to traditional practice (p<0.001). The early gastric feeding was faster full fed than TAT on the earlier postoperative date with median (IQR) = 11 (10, 11) and 16 (13, 23) respectively. However, all 3 groups had the same timing of gastric full feeding (median (IQR): A=8 (5, 11); B=7 (4, 7); C=9 (5, 10)), p=0.772. Even not significant, the early gastric feeding group provided the shorter time of hospital stay and TPN administration. Conclusion: The early OG feeding is feasible for early postoperative feeding comparable to TAT feeding and applicable in cases beware of TAT-related complications. Postoperative gastric function recovery is not related to the pre- or post-anastomotic feeding.