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Transanastomotic tube in intestinal atresia: How beneficial are they?

Nitin Sharma1, M Amin Memon2, Shipra Sharma3

  • 1Department of Paediatric Surgery, CM Hospital, Pt JNM Medical College and Associated Dr BRAM/DKS Hospital, Raipur, India.

African Journal of Paediatric Surgery : AJPS
|September 21, 2020
PubMed

Insights

Primary anastomosis with a transanastomotic tube (TAT) in intestinal atresia patients significantly improves outcomes. This approach allows for earlier feeding, shorter hospital stays, and higher survival rates compared to traditional methods.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Neonatal Care

Background:

  • Intestinal atresia presents significant challenges, often necessitating multiple surgical interventions and prolonged hospitalization.
  • Early nutritional support is crucial for improving outcomes in neonates with intestinal atresia.

Purpose of the Study:

  • To evaluate the efficacy of primary anastomosis with a transanastomotic tube (TAT) in managing intestinal atresia.
  • To compare outcomes between patients treated with TAT and those without.

Main Methods:

  • Retrospective analysis of 48 intestinal atresia cases from June 2014 to November 2017.
  • Patients were divided into two groups: primary anastomosis with TAT (Group A) and without TAT (Group B).
  • Data on feeding initiation, hospital stay duration, and survival rates were statistically analyzed.

Main Results:

  • Group A (n=42) showed significantly earlier initiation of feeds (78h vs 402h, P=0.01) and shorter hospital stays (7 days vs 27 days, P=0.02) compared to Group B (n=6).
  • Overall survival was markedly higher in Group A (91%) versus Group B (50%, P=0.01).
  • Re-exploration rates were similar between groups (P=0.4).

Conclusions:

  • Primary anastomosis utilizing a transanastomotic tube is a viable and effective strategy for managing intestinal atresia.
  • The use of TAT in intestinal atresia repair leads to improved patient outcomes, including reduced morbidity and enhanced survival.
Abstract

Keywords:
Intestinal atresiaWitzel's principletapering enteroplastytotal parental nutritiontransanastomotic tube

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