经吻合口饲管治疗先天性十二指肠梗阻的有益效果:一项荟萃分析。

IF 0.5 4区医学 Q4 SURGERY

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI:10.24875/CIRU.22000505

Serkan Arslan, Mustafa Azizoğlu

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引用次数: 0

摘要

目的:探讨经吻合口饲管(TAFTs)治疗新生儿先天性十二指肠梗阻(CDO)的有效性和安全性。材料和方法:使用EMBASE、PubMed和Cochrane数据库，我们进行了截至2022年的全面文献检索。比较TAFT +和TAFT -对CDO的影响。我们采用随机效应模型。结果:入选符合纳入标准的CDO患者505例。TAFT +组达到完全喂养的时间较短(加权平均差[WMD]: -6.63, 95%可信区间[CI]: -8.83 - -4.43;p < 0.001)，中心静脉导管(CVC)插入明显减少(I2 = 85%) (RR: 0.43, 95% CI: 0.19-1.00;P < 0.05)。TAFT +组接受肠外营养(PN)的患者较少(I2 = 78%) (RR: 0.43, 95% CI: 0.20-0.95;P < 0.05)。两组脓毒症的发生差异无统计学意义(I2 = 37%)(风险比[RR]: 1.35, 95% CI: 0.52-3.46;P > 0.05)。两组患者的住院时间差异无统计学意义(I2 = 82%) (WMD: 2.22, 95% CI: -7.59-12.03;p > 0.05)和死亡率(I2 = 0%) (RR: 0.55, 95% CI: 0.07-4.34;P > 0.05)。结论:经吻合口管的使用使全喂养开始早，CVC插入少，PN需求少。

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The beneficial effects of the transanastomotic feeding tube in the management of congenital duodenal obstruction: a meta-analysis.

Objective: We aimed to assess the evidence on the efficacy and safety of transanastomotic feeding tubes (TAFTs) in neonates with congenital duodenal obstruction (CDO), we conducted a systematic review.

Material and methods: Using the databases EMBASE, PubMed, and Cochrane, we carried out a thorough literature search up to 2022. Studies comparing TAFT + and TAFT - for CDO were included. We applied a random effect model.

Results: 505 CDO patients who met the inclusion criteria were selected. The TAFT + group had a shorter time to reach full feeds (weighted mean difference [WMD]: -6.63, 95% confidence interval [CI]: -8.83 - -4.43; p < 0.001) and had significantly less central venous catheter (CVC) insertion (I² = 85%) (RR: 0.43, 95% CI: 0.19-1.00; p < 0.05). Fewer patients in the TAFT + group received parenteral nutrition (PN) (I² = 78%) (RR: 0.43, 95% CI: 0.20-0.95; p < 0.05). There was no statistically significant difference in terms of the development of sepsis (I² = 37%) (risk ratio [RR]: 1.35, 95% CI: 0.52-3.46; p > 0.05). No statistically significant difference was observed in terms of length of stay (I² = 82%) (WMD: 2.22, 95% CI: -7.59-12.03; p > 0.05) and mortality (I² = 0%) (RR: 0.55, 95% CI: 0.07-4.34; p > 0.05).

Conclusions: The use of the transanastomotic tube resulted in early initiation of full feeding, less CVC insertion, and less need for PN.

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来源期刊

Cirugia Y Cirujanos 医学-外科

CiteScore

0.90

自引率

20.00%

发文量

207

审稿时长

6-12 weeks

期刊介绍： Cirugía y Cirujanoses exponente del desarrollo académico, científico, médico, quirúrgico y tecnológico en materia de salud en México y en el ámbito internacional. Es una revista bimestral, open access, revisada por pares, que publica en español y en inglés (traducido sin coste para los autores) artículos científicos originales, casos clínicos, artículos de revisión de interés general y cartas al editor. Los artículos se seleccionan y publican siguiendo un riguroso análisis, de acuerdo con los estándares internacionalmente aceptados. Sus espacios están abiertos a los académicos, así como a todo miembro de la comunidad médica que manifieste interés por utilizar este foro para publicar sus trabajos.