The beneficial effects of the transanastomotic feeding tube in the management of congenital duodenal obstruction: a meta-analysis
Yükleniyor...
Tarih
2023
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Mexican Acad Surgery
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: We aimed to assess the evidence on the efficacy and safety of transanastomotic feeding tubes (TAFTs) in neonates with congenital duodenal obstruction (CDO), we conducted a systematic review. Material and methods: Using the databases EMBASE, PubMed, and Cochrane, we carried out a thorough literature search up to 2022. Studies comparing TAFT + and TAFT -for CDO were included. We applied a random effect model. Results: 505 CDO patients who met the inclusion criteria were selected. The TAFT + group had a shorter time to reach full feeds (weighted mean difference [WMD]: -6.63, 95% confidence interval [CI]: -8.83 --4.43; p < 0.001) and had significantly less central venous catheter (CVC) insertion (I2 = 85%) (RR: 0.43, 95% CI: 0.19-1.00; p < 0.05). Fewer patients in the TAFT + group received parenteral nutrition (PN) (I2 = 78%) (RR: 0.43, 95% CI: 0.20-0.95; p < 0.05). There was no statistically significant difference in terms of the development of sepsis (I2 = 37%) (risk ratio [RR]: 1.35, 95% CI: 0.52-3.46; p > 0.05). No statistically significant difference was observed in terms of length of stay (I2 = 82%) (WMD: 2.22, 95% CI: -7.59-12.03; p > 0.05) and mortality (I2 = 0%) (RR: 0.55, 95% CI: 0.07-4.34; p > 0.05). Conclusions: The use of the transanastomotic tube resulted in early initiation of full feeding, less CVC insertion, and less need for PN.
Açıklama
Anahtar Kelimeler
Congenital duodenal obstruction, Feed strategy, Parenteral nutrition, Transanastomotic tube
Kaynak
Cirugia Y Cirujanos
WoS Q Değeri
N/A
Scopus Q Değeri
Q3
Cilt
91
Sayı
3
Künye
Arslan, S. ve Azizoğlu, M. (2023). The beneficial effects of the transanastomotic feeding tube in the management of congenital duodenal obstruction: a meta-analysis. Cirugia y Cirujanos (English Edition), 91(3), 326-333.
