• Efficacy of enteral probe after duodenoplasty in newborns

Efficacy of enteral probe after duodenoplasty in newborns

PERINATOLOGIYA I PEDIATRIYA. 2017.1(69):109-114; doi 10.15574/PP.2017.69.109

Efficacy of enteral probe after duodenoplasty in newborns

Sliepov O., Migur M., Soroka V.
SI «Institute of Pediatrics, Obstetrics and Gynecology of NAMS of Ukraine», Kyiv

Purpose — to investigate the efficacy of enteral probe usage after duodenoplasty in newborns with congenital high small-bowel obstruction.

Materials and methods. A retrospective analysis of 46 newborns case histories with high small-bowel obstruction was conducted. To study the efficacy of the enteral probe, all patients were divided into two groups. The first group (index) included children with high small-bowel obstruction who were performed duodenoplasty during the surgery (n=34; 73.9%). The second group (comparison) comprised infants with small-bowel obstruction whom duodenoplasty was not performed (n=12; 26.1%).

Results. Duodenoplasty significantly increased the timing of gastrointestinal transit renewal (p=0.02, P<0.05). Despite the early enteral nutrition in children with established enteral probe (in both groups), significant differences in terms of full renewal of bowel motility in the postoperative period were not found (p=0.07, P>0.05). Gastrostasis was significantly longer in the index group (p=0.01, P<0.05) and in the comparison group (p=0.01, P<0.05) among children with enteral probes. In all cases gastrostasis stopped only after the removal of enteral probe and more significantly among children without duodenoplasty (r=0.03, P<0.05). Due to significantly longer duration of gastrostasis in children with enteral probes, enteral nutrition per os were initiated later (P<0.05). Children who underwent duodenoplasty without enteral probes, full enteral nutrition started significantly earlier (p=0.03, P<0.05).

Conclusions. Establishing of enteral probe above the line of duodenal anastomosis leads to postpone of gastrointestinal transit renewal of the upper gastrointestinal tract and of the full enteral nutrition.

Key words: congenital small$bowel obstruction, duodenoplasty, enteral probe, newborns.

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