{"title":"Application of nasojejunal nutrition tube after surgery for congenital gastric wall muscle layer defect in neonates.","authors":"Fei Chen, Zhixiong Lin, Weijun Zheng, Mingkun Liu","doi":"10.21037/tp-2025-153","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Neonates undergoing gastric repair require longer parenteral nutrition time, which may increase costs and the occurrence of complications. Early recovery of enteral nutrition is particularly necessary. Our aim is to explore the effects of early enteral nutrition provided through a nasojejunal tube in children with congenital defects of the gastric wall muscular layer after surgery.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on the clinical data of 42 children with congenital gastric wall muscle layer defects from 2015 to 2023. According to whether a nasojejunal tube was placed during the surgery, patients were divided into a nasojejunal tube feeding (NTF) group and a total parenteral nutrition (TPN) group. Analyzing the differences between the two groups, the observation indicators included postoperative recovery of intestinal function, feeding status, and complications.</p><p><strong>Results: </strong>The time for achieving complete enteral feeding (17.21±3.51 <i>vs.</i> 20.00±4.22 days, P=0.03) and postoperative length of hospital stay (20.05±3.95 <i>vs.</i> 22.96±4.96 days, P=0.045) in the NTF group were significantly shorter than those in the TPN group. The incidence of postoperative abdominal distension in the NTF group was significantly lower than that in the TPN group (15.8% <i>vs.</i> 47.8%, P=0.03). There were no significant differences between the two groups in terms of cholestasis (5.3% <i>vs.</i> 17.4%, P=0.47), anastomotic leakage (5.3% <i>vs.</i> 4.3%, P=0.89), occurrence of neonatal necrotizing enterocolitis (NEC) (10.5% <i>vs.</i> 4.3%, P=0.86), vomiting (26.3% <i>vs.</i> 30.4%, P=0.77), and mortality rates (5.3% <i>vs.</i> 8.7%, P=0.67).</p><p><strong>Conclusions: </strong>For children with congenital defects of the gastric wall muscular layer, postoperative enteral nutrition via a nasojejunal feeding tube is feasible, which can shorten the time to reach full enteral nutrition and reduce hospitalization duration, with postoperative outcomes showing an improving trend. It is an important means to promote the recovery of neonates after gastric surgery.</p>","PeriodicalId":23294,"journal":{"name":"Translational pediatrics","volume":"14 6","pages":"1065-1072"},"PeriodicalIF":1.7000,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12268816/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Translational pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.21037/tp-2025-153","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/25 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Neonates undergoing gastric repair require longer parenteral nutrition time, which may increase costs and the occurrence of complications. Early recovery of enteral nutrition is particularly necessary. Our aim is to explore the effects of early enteral nutrition provided through a nasojejunal tube in children with congenital defects of the gastric wall muscular layer after surgery.
Methods: A retrospective analysis was conducted on the clinical data of 42 children with congenital gastric wall muscle layer defects from 2015 to 2023. According to whether a nasojejunal tube was placed during the surgery, patients were divided into a nasojejunal tube feeding (NTF) group and a total parenteral nutrition (TPN) group. Analyzing the differences between the two groups, the observation indicators included postoperative recovery of intestinal function, feeding status, and complications.
Results: The time for achieving complete enteral feeding (17.21±3.51 vs. 20.00±4.22 days, P=0.03) and postoperative length of hospital stay (20.05±3.95 vs. 22.96±4.96 days, P=0.045) in the NTF group were significantly shorter than those in the TPN group. The incidence of postoperative abdominal distension in the NTF group was significantly lower than that in the TPN group (15.8% vs. 47.8%, P=0.03). There were no significant differences between the two groups in terms of cholestasis (5.3% vs. 17.4%, P=0.47), anastomotic leakage (5.3% vs. 4.3%, P=0.89), occurrence of neonatal necrotizing enterocolitis (NEC) (10.5% vs. 4.3%, P=0.86), vomiting (26.3% vs. 30.4%, P=0.77), and mortality rates (5.3% vs. 8.7%, P=0.67).
Conclusions: For children with congenital defects of the gastric wall muscular layer, postoperative enteral nutrition via a nasojejunal feeding tube is feasible, which can shorten the time to reach full enteral nutrition and reduce hospitalization duration, with postoperative outcomes showing an improving trend. It is an important means to promote the recovery of neonates after gastric surgery.
背景：新生儿胃修复需要较长的肠外营养时间，这可能会增加成本和并发症的发生。肠内营养的早期恢复尤为必要。我们的目的是探讨通过鼻空肠管提供早期肠内营养对先天性胃壁肌层缺损术后儿童的影响。方法：回顾性分析2015 ~ 2023年42例先天性胃壁肌层缺损患儿的临床资料。根据术中是否放置鼻空肠管，将患者分为鼻空肠管喂养（NTF）组和全肠外营养（TPN）组。分析两组的差异，观察指标包括术后肠功能恢复情况、喂养情况、并发症情况。结果：NTF组实现完全肠内喂养的时间（17.21±3.51∶20.00±4.22天，P=0.03）和术后住院时间（20.05±3.95∶22.96±4.96天，P=0.045）均显著短于TPN组。NTF组术后腹胀发生率明显低于TPN组（15.8% vs. 47.8%， P=0.03）。两组在胆汁淤积（5.3% vs. 17.4%， P=0.47）、吻合口漏（5.3% vs. 4.3%， P=0.89）、新生儿坏死性小肠结肠炎（NEC） （10.5% vs. 4.3%， P=0.86）、呕吐（26.3% vs. 30.4%， P=0.77）、死亡率（5.3% vs. 8.7%， P=0.67）方面无显著差异。结论：对于先天性胃壁肌层缺陷患儿，术后鼻空肠饲管肠内营养是可行的，可缩短达到充分肠内营养的时间，减少住院时间，术后预后有改善趋势。是促进新生儿胃术后康复的重要手段。
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