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Ad libitum feeding after surgery for pyloric stenosis

Marlene Mauseth Elveos1, Hans Skari1, Kaja Mørk Hansson2

  • 1Barnekirurgisk seksjon, Avdeling for gastro- og barnekirurgi, Oslo universitetssykehus.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|March 5, 2025
PubMed

Insights

Ad libitum feeding after pyloric stenosis surgery in infants led to shorter hospital stays without increasing complications. This new feeding regimen offers a potential improvement for infant surgical recovery.

Area of Science:

  • Pediatric Surgery
  • Infant Nutrition
  • Surgical Outcomes

Background:

  • Pyloric stenosis is a common surgical indication in infants.
  • Traditional postoperative care involves gradual feeding increases.
  • Oslo University Hospital introduced ad libitum feeding in 2018.

Purpose of the Study:

  • To evaluate the impact of ad libitum feeding on postoperative complications.
  • To assess the effect of ad libitum feeding on hospital length of stay.

Main Methods:

  • Retrospective study of 210 infants undergoing pyloric stenosis surgery (2004-2021).
  • Comparison of patients receiving ad libitum feeding versus gradual feeding increases.
  • Data collected on demographics, comorbidities, and peri/postoperative outcomes.

Main Results:

  • No significant differences in postoperative complications, reoperations, or readmissions between feeding groups.
  • Ad libitum feeding group had a significantly shorter hospital stay (2.7 days vs. 3.7 days).
  • Groups were comparable in sex, age, birth weight, and comorbidity.

Conclusions:

  • Ad libitum feeding is associated with a shorter hospital stay post-pyloric stenosis surgery.
  • This feeding approach does not increase the incidence of complications.
  • Potential contributing factors include feeding regimen changes, surgical technique, or temporal effects.
Abstract

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