Related Experiment Videos
[Comparative evaluation of various methods for feeding children with pyloric stenosis]
Insights
Enteral tube feeding significantly improves outcomes for infants with pylorostenosis, a common congenital intestinal obstruction. This method allows for increased milk intake, better weight gain, and reduced complications compared to traditional feeding methods.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Neonatal Care
Background:
- Pylorostenosis is the most common congenital intestinal obstruction.
- Severe cases can be fatal, with successful treatment depending on adequate nutrition.
- Traditional feeding methods have shown limitations in managing affected infants.
Purpose of the Study:
- To evaluate the efficacy of different feeding strategies in infants with pylorostenosis.
- To compare outcomes between conventional oral feeding, a "forced" schedule, and enteral tube feeding.
- To determine the optimal nutritional approach for improving treatment success in pylorostenosis.
Main Methods:
- A study involving 90 children with pylorostenosis, divided into three feeding groups.
- Group 1: Standard oral diet.
- Group 2: "Forced" feeding schedule.
- Group 3: Enteral tube feeding via endoscope before or during surgery.
Main Results:
- Enteral tube feeding allowed 2-3 times more milk intake pre- and post-operatively.
- This method effectively arrested regurgitation, esophagitis, and jaundice.
- Weight gain was three times higher in the enteral feeding group compared to the standard oral diet group.
Conclusions:
- Enteral tube feeding is justified for severely ill infants with pylorostenosis.
- A "forced" feeding schedule is suitable for uncomplicated cases.
- The generally accepted oral feeding method was found to be unsatisfactory and is not recommended.
Abstract:
Pylorostenosis is still the most frequently encountered type of congenital intestinal obstruction. A severe course of the disease with a fatal outcome is observed today. Successful treatment is linked in many respects with adequate feeding of the patient. The authors examined and performed operations on 90 children. According to the type of feeding they were divided into 3 groups. Group 1 consisted of patients given the generally accepted oral diet in portions, group 2 was made up of infants fed according to a "forced" schedule (the physiological requirements were supplied by the natural way by the 3rd-4th postoperative day), and group 3 received enteral feeding through a tube. The tube was introduced by means of an endoscope before or during the operation. It was found that in feeding through a tube children with pylorostenosis could be given 2-3 times more milk before the operation and in the first days after it. Regurgitation and the phenomena of esophagitis and jaundice are arrested in this case. The gain in weight is 3 times that in children of group 1. The authors consider this type of feeding to be justified in gravely ill patients. The "forced" schedule is used in an uncomplicated course of the disease. Feeding of infants with pylorostenosis by the generally accepted method was found to be unsatisfactory and the authors rejected it.