Safety of mucous fistula refeeding in neonates with functional short bowel syndrome: A retrospective review

Journal of Pediatric Surgery
Tessa Elliott, J M Walton

Abstract

Mucous fistula (MF) refeeding of proximal stoma effluent in neonates after small bowel resection can promote nutrient absorption and prevent atrophy of the unused distal bowel. This study aimed to assess the safety of this practice in neonates. A retrospective chart review of all patients admitted to the neonatal intensive care unit (NICU) between 2009 and 2015 who underwent a laparotomy with creation of an enterostomy and mucous fistula was performed. Patients were included if they were refed proximal stoma effluent into the MF. Thirty-one patients were identified that were refed. There were no major complications (perforation, stricture, death) related to refeeding. Patients were refed for an average of 41 days (± 22), with patients gaining an average of 25.7 g/day (± 10.1) while being refed. Total parental nutrition (TPN) was administered for an average of 55 days (± 31.4) between resection and reanastomosis, with only 7 (23%) developing cholestasis and 15 (48%) reaching full feeds in this time. Mean time to full feeds after reanastomosis was 36 days (± 58.6) with two patients having anastomotic leaks. MF refeeding is a safe technique that has the potential to contribute to significant weight gain and a decreased dependence ...Continue Reading

Citations

Jun 17, 2020·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Alida Alcolea SánchezRocío González Sacristán
Nov 11, 2020·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Harmit GhattauraIngo Jester
Feb 20, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Mehmet Surhan ArdaHüseyin Ilhan
May 23, 2020·Clinics in Perinatology·Ethan A MezoffMolly C Dienhart
Aug 5, 2021·Journal of Pediatric Gastroenterology and Nutrition·Sean D WoodsAnthony J Piazza

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