Transanastomotic Tube in Duodenal Anastomosis

for Duodenal Obstruction

Rizki Diposarosa, Vita Indriasari, Patricia Octaviani, Melian Anita, Bustanul
Arifin
Pediatric Surgery Division, Department of Surgery, Hasan Sadikin General Hospital, West Java, Indonesia

ABSTRACT
BACKGROUND: Duodenal obstruction is common intestinal obstructions found
in neonates.1,2 Some literatures hypothesizes that transanastomotic tube placement
can assist early enteral feedings to reduce the need for CVC insertion and
parenteral nutrition.3-5 However, transanastomotic tube usage have potential
complications include intestinal necrosis, dislodgement, and intestinal
perforation.6 Therefore, study was conducted on the outcome of using
transanastomotic tube in duodenal anastomosis for duodenal obstruction.
METHOD: This is retrospective cohort study in duodenal obstruction patients
who underwent duodenal anastomosis in January 2019 – March 2022 from
medical records. Data were collected from medical records including gender, age,
type of obstruction, the days of feeding, length of stay (LOS), and survival.
RESULT: From January 2019 to March 2022, 32 samples were obtained, 20
males (62,5%) and 12 females (37,5%). The median age of surgery was 20,5 days
(2-69 days) with total obstruction 19 patients (59.38%) and the use of
transanastomotic tube 17 patients (53.12%). In the results of bivariate analysis
using transanastomotic tubes and not, feeding time on days 3 (2-11) and 4 (3-8)
(p=0.03), LOS 24 days (1-84) and 19 days (5-48) (p=0.317), and the mortality
rate p=0.305.
CONCLUSION
The use of transanastomotic tube in patients with duodenal obstruction can
be considered for early enteral administration, but it does not affect the length of
hospital stay and survival rates.
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