The beneficial effects of the transanastomotic feeding tube in the management of congenital duodenal obstruction: a meta-analysis

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dc.contributor.authorArslan, Serkan
dc.contributor.authorAzizoğlu, Mustafa
dc.date.accessioned2024-04-24T17:20:21Z
dc.date.available2024-04-24T17:20:21Z
dc.date.issued2023
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Çocuk Cerrahisi Ana Bilim Dalıen_US
dc.description.abstractObjective: 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.en_US
dc.identifier.citationArslan, 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.
dc.identifier.doi10.24875/CIRU.22000505
dc.identifier.endpage333en_US
dc.identifier.issn0009-7411
dc.identifier.issue3en_US
dc.identifier.pmid37440759
dc.identifier.scopus2-s2.0-85164844693
dc.identifier.scopusqualityQ3
dc.identifier.startpage326en_US
dc.identifier.urihttps://doi.org/10.24875/CIRU.22000505
dc.identifier.urihttps://hdl.handle.net/11468/18972
dc.identifier.volume91en_US
dc.identifier.wosWOS:001027618400005
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherMexican Acad Surgeryen_US
dc.relation.ispartofCirugia Y Cirujanos
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCongenital duodenal obstructionen_US
dc.subjectFeed strategyen_US
dc.subjectParenteral nutritionen_US
dc.subjectTransanastomotic tubeen_US
dc.titleThe beneficial effects of the transanastomotic feeding tube in the management of congenital duodenal obstruction: a meta-analysisen_US
dc.titleThe beneficial effects of the transanastomotic feeding tube in the management of congenital duodenal obstruction: a meta-analysis
dc.typeArticleen_US

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