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

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Munawir Makkadafi ◽  
Aditya Rifqi Fauzi ◽  
Setya Wandita ◽  
Akhmad Makhmudi ◽  
Gunadi
Keyword(s):  
Parenteral Nutrition ◽  
Enteral Feeding ◽  
Duodenal Obstruction ◽  
Feeding Tube ◽  
Oral Feeding ◽  
Feeding Duration ◽  
Congenital Duodenal Obstruction ◽  
Group 12 ◽  
Group 2 ◽  
Jejunostomy Feeding

Abstract 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.

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

2021 ◽  
Author(s):  
Martin Treider ◽  
Anders Hauge Engebretsen ◽  
Hans Skari ◽  
Kristin Bjørnland
Keyword(s):  
Parenteral Nutrition ◽  
Duodenal Obstruction ◽  
Venous Catheter ◽  
Feeding Tube ◽  
Negative Effects ◽  
Central Venous ◽  
Down Syndrome Patient ◽  
Patient Demographics ◽  
Congenital Duodenal Obstruction ◽  
Postoperative Feeding

Abstract 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.

scholarly journals Evaluation of the profile of drug therapy administered through enteral feeding tube in a general hospital in Rio de Janeiro

2011 ◽  
Vol 47 (2) ◽  
pp. 331-337 ◽  
Author(s):  
Mario Jorge Sobreira da Silva ◽  
Carlos Eduardo Meireles Cava ◽  
Patrícia Kaiser Pedroso ◽  
Débora Omena Futuro
Keyword(s):  
Drug Therapy ◽  
Enteral Feeding ◽  
Rio De Janeiro ◽  
Clinical Status ◽  
Nutritional Therapy ◽  
Feeding Tube ◽  
Oral Feeding ◽  
Enteral Feeding Tube ◽  
Effective Use ◽  
Recommended Guidelines

Enteral nutrition (EN) is the method of choice for patients that cannot adequately receive oral feeding despite good gastrointestinal tract condition. Enteral diets may be administered through tube or ostomy placed in the stomach, duodenum or jejunum. The administration of drugs via enteral feeding tube (EFT) is a common practice in hospitals due to patient clinical status, and requires special attention from professionals involved in this process. This study entailed an analysis of the profile of drug therapy through EFT based on evaluation of medical prescriptions of the Medical Clinic of the Hospital dos Servidores do Estado (HSE) of Rio de Janeiro sent to the Pharmacy Service between January and June 2007, according to standard protocols in place. Prescription of drugs via EFT outside recommended guidelines was observed, besides potential drug-nutrient incompatibilities associated with this practice. These results point to the need for improvement of enteral route access and the adoption of measures to promote safe and effective use of drugs and nutritional therapy.

scholarly journals A MODIFIED TECHNIQUE FOR SURGICAL REMOVAL OF THE CONGENITAL DUODENAL OBSTRUCTION

2019 ◽  
Vol 23 (3) ◽  
pp. 146-149
Author(s):  
M. G. Chepurnoy ◽  
G. I. Chepurnoy ◽  
V. B. Katsupeev ◽  
A. V. Leyga ◽  
Ya. I. Chilibiyskiy ◽  
...  
Keyword(s):  
Duodenal Obstruction ◽  
Surgical Removal ◽  
Initial Part ◽  
Modified Technique ◽  
Congenital Duodenal Obstruction ◽  
Barium Suspension ◽  
Group 2 ◽  
Treitz Ligament ◽  
Made In ◽  
Group 1

Purpose. To improve the duodenum function after Kimura surgery which is performed for the congenital duodenal obstruction by restoring the horseshoe-shaped duodenum. Material and methods. A comparative analysis of two groups of patients was made: In Group 1 (n = 31) , patients were operated with the mobilization of lower horizontal duodenal branch and duodenoduodenal anastomosis by Kimura without restoring the horseshoe-shape of the duodenum. In Group 2 (n = 11), children had similar surgeries but the horseshoe-shaped configuration of the duodenum was restored by fixing the initial part of the jejunum to the Treitz ligament. After surgery, the researchers radiographically compared time of barium suspension passage through the duodenum in patients of both groups. Results. In children from Group 1, passage of the contrast suspension via duodenum lasted for 43.9 ± 3.9 sec., what is approximately 2 times faster than in the norm. In patients from Group 2, this indicator was 3-4 times larger than in patients from Group 1 and was 158.2 ± 18.2 sec. Such a slowdown in the chyme passage along the duodenum prolongs exposure of food masses to pancreatic juice, bile and intestinal juice and, consequently, improves the duodenal function. Conclusion. The authors recommend to end the surgical intervention for eliminating congenital duodenal obstruction by Kimura technique with the restoration of horseshoe-shaped duodenum by fixing the initial part of the jejunum to the Treitz ligament.

scholarly journals Transanastomotic Feeding Tube In Surgical Management of Congenital Duodenal Obstruction: Case Series

2020 ◽  
Vol 5 (2) ◽  
pp. 26-29
Author(s):  
Hardian Gunardi ◽  
◽  
Asri Rachmawati ◽  
Nanok Susilo ◽  
Riana Tamba ◽  
...  
Keyword(s):  
Surgical Management ◽  
Duodenal Obstruction ◽  
Case Series ◽  
Feeding Tube ◽  
Congenital Duodenal Obstruction

Persistently Low Blood Retinol Levels During and After Parenteral Feeding of Very Low Birth Weight Infants: Examination of Losses Into Intravenous Administration Sets and a Method of Prevention by Addition to a Lipid Emulsion

PEDIATRICS ◽  
1987 ◽  
Vol 79 (6) ◽  
pp. 894-900
Author(s):  
Harry L. Greene ◽  
Barry L. Phillips ◽  
Linda Franck ◽  
Capri Mara Fillmore ◽  
Hamid M. Said ◽  
...  
Keyword(s):  
Birth Weight ◽  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Enteral Feeding ◽  
Very Low Birth Weight ◽  
Serum Retinol ◽  
Low Birth Weight Infants ◽  
Group 2 ◽  
Low Serum ◽  
Group 1

Very low birth weight infants have little storage of hepatic retinol and are, therefore, highly dependent upon an exogenous supply. The recent association between low serum retinol level and bronchopulmonary dysplasia and the persistently low serum levels of retinol during total parenteral nutrition prompted a prospective study to evaluate serial changes in serum retinol levels during 1 month of total parenteral nutrition (retinol dose 455 µg/d) and again during 1 month of total enteral feeding (retinol dose 200 to 300 µg/d) in the same infants. Infants were divided into two groups. Group 1 consisted of infants weighing less than 1,000 g (n = 24) and group 2 consisted of infants weighing 1,000 to 1,500 g (n = 17). Although initial mean levels of retinol were similar in both groups (14.8 ± 0.9 and 13.5 ± 0.7 µg/dL), there was wide variation between infants. In group 1 infants, there was a significant (P &lt; .01) decline in retinol level by the second week of life (to 9.2 ± 1 µg/dL), which persisted during total parenteral nutrition, but increased to 13.4 ± 2 after 1 week of enthral feeding. This level was maintained throughout enteral feeding. In group 2 infants, there was no significant change in serum retinol level throughout the study. During total parenteral nutrition, several infants had retinol levels below 10 µg/dL, a level associated with signs of retinol deficiency in older children. Because losses of retinol are known to occur in smaller volume total parenteral nutrition solutions, it was speculated that losses of retinol in our patients were due to retinol losses in the total parenteral nutrition delivery system. Because lipid might prevent these losses, in vitro studies were done to compare retinol losses in total parenteral nutrition v the usual daily dose of Intralipid. Results indicated 80% loss of retinol in total parenteral nutrition compared to only 10% loss in Intralipid. Lipid stability, as monitored by light microscopy and laser light scatter, indicated no changes in the stability of the lipid particles with the addition of the vitamin.

The Influence of Donor Milk Supplementation on Duration of Parenteral Nutrition in Preterm Infants

2020 ◽  
Vol 36 (2) ◽  
pp. 245-253
Author(s):  
Bibiana Chinea Jiménez ◽  
Marta Cabrera Lafuente ◽  
María L. Couce ◽  
Rosario Madero ◽  
Maximo Vento ◽  
...  
Keyword(s):  
Parenteral Nutrition ◽  
Human Milk ◽  
Enteral Feeding ◽  
Venous Catheter ◽  
Convenience Sample ◽  
Donor Human Milk ◽  
Before And After ◽  
Group 2 ◽  
Mother’S Own Milk ◽  
Group 1

Background Data are limited on the association between the use of donor human milk and improvements in feeding tolerance. Objective To determine the influence of the duration of parenteral nutrition on the growth and morbidity of the breastfed newborn when using donated human milk in the absence of mother’s own milk. Methods We conducted a retrospective study before and after the intervention that compared two groups of newborns ( N = 284; each group n = 142). We used a convenience sample of all newborns ≤32 weeks gestation consecutively admitted in a single unit before (Group 1 between December 2012 and May 2014) or after (Group 2 between October 2014 and December 2016) the availability of donor human milk. In Group 2, donor human milk was administered at least 3 to 4 weeks or until the baby weighed 1,500 g. Weight was recorded daily and length and head circumference weekly. Parenteral nutrition was continued until enteral feeding volume reached 120 ml/kg/day. Additional variables measured were the number of days with a central venous catheter, age that the enteral feeding volume reached 150 ml/kg/day, and duration of stay. Results The duration of parenteral feeding was the same before and after: 12 (8.23) and 11 (7.19) days ( p = .822). The z scores for weight and height of newborns was lower in Group 2 = −1.8 (1.0) and −2.3 (1.1) and Group 1 = −1.2 (1.1) ( p < .001) and −1.8 (1.4) ( p = .005). Conclusion We did not find an association between the administration of donor human milk as a supplement to mother’s own milk and reduced number of days of parenteral nutrition. Back translation by Laurence Grummer-Strawn

scholarly journals Weight gain in newborns submitted to skin-to-skin contact

Revista CEFAC ◽  
2018 ◽  
Vol 20 (1) ◽  
pp. 53-60 ◽  
Author(s):  
Ana Karine da Costa Monteiro Souza ◽  
Ana Caroline Mendes Tavares ◽  
Daiany Gabriela de Lima Carvalho ◽  
Viviane Castro de Araújo
Keyword(s):  
Weight Gain ◽  
Gestational Age ◽  
Tube Feeding ◽  
Length Of Hospital Stay ◽  
Oral Feeding ◽  
Feeding Duration ◽  
Skin Contact ◽  
Group 2 ◽  
Skin To Skin

ABSTRACT Purpose: to compare the weight gain among newborns submitted to the kangaroo method and those not submitted to it, and to analyze the factors that may influence this gain: length of hospital stay, gestational age, corrected gestational age, birth weight, weight on the first day of follow-up, duration of gastric tube feeding, duration of oral feeding, and type of diet. Methods: a cross-sectional, quantitative study, with 86 newborns divided into two groups: group 1, with 48 neonates undergoing skin-to-skin contact and Group 2, 38 newborns who did not have this contact. Weights were recorded until hospital discharge. Results: a greater weight gain in Group 1, a longer time of hospitalization in Group 2, and a significant difference in weight gain related to the type of diet in Group 2. Conclusion: skin-to-skin contact has a positive influence on weight gain and length of hospital stay of newborns. The use of an infant formula does not influence weight gain for dyads who experienced skin-to-skin contact. Gestational age, corrected gestational age, birth weight, weight on the first day of follow-up, duration of gastric tube feeding, duration of oral feeding are not correlated with weight gain.

Nasendoscopically-assisted placement of a nasogastric feeding tube

1999 ◽  
Vol 113 (9) ◽  
pp. 839-840 ◽  
Author(s):  
Gerard Kelly ◽  
Patrick Lee
Keyword(s):  
Parenteral Nutrition ◽  
Nasogastric Tube ◽  
Feeding Tube ◽  
Oral Feeding ◽  
Tube Placement ◽  
Nasogastric Feeding ◽  
Nasogastric Tubes ◽  
Term Administration ◽  
Enteral Access ◽  
Nasogastric Tube Placement

AbstractNasogastric tube placement is desirable for the short-term administration of calories when oral feeding is not possible. Enteral nutrition is superior to parenteral nutrition. In some patients this method of feeding is impossible because of repeated failure of nasogastric tube placement, necessitating either general anaesthesia for enteral access, or total parenteral nutrition. We describe a new method for nasogastric tube placement aided by a fibre-optic nasendoscope which has resulted in the successful placement of over 20 nasogastric tubes in our unit and the avoidance of more invasive methods of establishing nutrition with their associated complications.

scholarly journals Parenteral Nutrition and Oxidant Load in Neonates

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2631
Author(s):  
Kandeepan Karthigesu ◽  
Robert F. Bertolo ◽  
Robert J. Brown
Keyword(s):  
Parenteral Nutrition ◽  
Storage Temperature ◽  
Oral Feeding ◽  
Published Data ◽  
Short Term ◽  
Antioxidant Defences ◽  
Term Survival ◽  
Nutrient Sources ◽  
Short Term Survival

Neonates with preterm, gastrointestinal dysfunction and very low birth weights are often intolerant to oral feeding. In such infants, the provision of nutrients via parenteral nutrition (PN) becomes necessary for short-term survival, as well as long-term health. However, the elemental nutrients in PN can be a major source of oxidants due to interactions between nutrients, imbalances of anti- and pro-oxidants, and environmental conditions. Moreover, neonates fed PN are at greater risk of oxidative stress, not only from dietary sources, but also because of immature antioxidant defences. Various interventions can lower the oxidant load in PN, including the supplementation of PN with antioxidant vitamins, glutathione, additional arginine and additional cysteine; reduced levels of pro-oxidant nutrients such as iron; protection from light and oxygen; and proper storage temperature. This narrative review of published data provides insight to oxidant molecules generated in PN, nutrient sources of oxidants, and measures to minimize oxidant levels.

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