Xiao Shangjie,Yang Wenyi,Xu Lu,et al.Mini-invasive surgery and early enteral nutrition after surgery in fast recovery of congenital duodenal obstruction in neonates[J].Journal of Clinical Pediatric Surgery,,18():272-276,298.[doi:10.3969/j.issn.1671-6353.2019.04.005]
Mini-invasive surgery and early enteral nutrition after surgery in fast recovery of congenital duodenal obstruction in neonates
- Keywords:
- Duodenal Obstruction/SU; Enhanced Recovery After Surgery; Intraoperative Period; Stress; Infant Newborn
- CLC:
- R493;R722.1;R656.6+4
- Abstract:
- Objective To summarize the experience of mini-invasive laparoscopy and early enteral nutrition (EEN) after surgery for congenital duodenal obstruction and assess its value in fast recovery of congenital duodenal obstruction in neonates.Methods The clinical data of 41 newborns with congenital duodenal obstruction undergoing laparoscopic duodenal anastomosis from January 2017 to October 2018 were retrospectively analyzed.They were divided into two groups according to the postoperative start time of enteral nutrition:EEN group (n=18) and conventional feeding group (n=23).The inter-group differences in days of total parenteral nutrition,time to start feeding,time to full feeding,length of hospital stay,expense and complications were compared.Results 18 cases were identified in the EEN group and 23 cases in the conventional feeding group.There was no statistically significant difference between the two groups in preoperative gestational age,weight,operation age,type of procedure and operation time (P>0.05).Compared to conventional feeding group,days of total parenteral nutrition,time to start feeding,time to full feeding and length of hospital stay were significantly shorter in EEN group[(6.6±1.29) vs.(11.96±4.33) days,(1.17±0.38) vs.(7.74±3.22) days,(6.83±1.25) vs.(12.61±4.36) days and (13.39±5.88) vs.(16.65±4.27) days respectively].The expense in EEN group was significantly less than that in conventional feeding group[(31 052.33±9 097.48) vs.(34 904.06±10 693.14) yuan].There was no complications such as anastomotic fistula and anastomotic stenosis) in neither groups.Conclusion Laparoscopy for newborns with congenital duodenal obstruction offers the advantages of mini-invasion and fast recovery.Early enteral nutrition after surgery can promote the recovery of gastrointestinal function,shorten the duration of parenteral nutrition and hospitalization stay,reduce hospitalization expense and does not increase the incidence of complications.
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Memo
收稿日期:2019-01-07。
基金项目:广东省中医药局科研项目（编号：20162017）
作者简介:肖尚杰,Email:drsiow@163.com