Transanastomotic feeding tube after an operation for duodenal atresia

Eur J Pediatr Surg. 2002 Jun;12(3):159-62. doi: 10.1055/s-2002-32727.


The aim of this study was to answer the question whether or not, after an operation for duodenal atresia, a transanastomotic feeding tube reduces the time to full preanastomotic feeding. The method used was a retrospective study and a prospective observation. 18 consecutive newborns with duodenal atresia, nine from each of two different centres of paediatric surgery, were studied retrospectively. The patients in one centre received a nasogastric tube and a transanastomotic feeding tube during the operation, while in the other centre only a nasogastric tube was used. Seven control patients with duodenal atresia treated postoperatively with a nasogastric tube and a transanastomotic feeding tube were prospectively observed. The main outcome measure used to compare these two groups was the time required to achieve full preanastomotic feeding.

Results: The patients who were treated postoperatively with the transanastomotic feeding tube needed significantly less time to achieve full preanastomotic feeding than those with a nasogastric tube only (P < 0.001, Mann-Whitney U test).

Conclusion: The use of a transanastomotic feeding tube, after an operation for duodenal atresia, leads to earlier full preanastomotic feeding.

Publication types

  • Multicenter Study

MeSH terms

  • Anastomosis, Surgical
  • Duodenal Obstruction / congenital*
  • Duodenal Obstruction / surgery
  • Enteral Nutrition*
  • Female
  • Humans
  • Infant, Newborn
  • Intestinal Atresia / surgery*
  • Intestinal Atresia / therapy
  • Intubation, Gastrointestinal*
  • Male
  • Postoperative Care
  • Prospective Studies
  • Retrospective Studies
  • Time Factors