ArticleJournal of Indian Association of Pediatric Surgeons
Management of Proximal Jejunal Atresia by Enterostomy with a Modified T-tube: A Comparative Clinical Study.
Article in Journal of Indian Association of Pediatric Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Background: Neonatal proximal jejunal atresia continues to present significant postoperative morbidity due to proximal dilatation, poor motility, and difficulty in early feeding. Traditional T-tube enterostomy has been used to provide decompression and stenting. We adopted a modified technique using two infant feeding tubes configured to function as proximal decompression and distal feeding limbs. Objective: To evaluate and compare the clinical outcomes of an enterostomy with a modified T-tube versus primary anastomosis in neonates with proximal jejunal atresia. Materials and Methods: This ambispective comparative study included 40 neonates. Group A ( Results: The modified T-tube group showed significantly earlier initiation of oral feeding (7.08 ± 2.30 days vs. 10.57 ± 3.78 days, Conclusion: An enterostomy with a modified T-tube significantly improves clinical outcomes in neonatal proximal jejunal atresia. It reduces anastomotic leaks, facilitates earlier feeding, and enhances survival. Given its simplicity, safety, and measurable benefits, it should be considered a preferred approach in appropriately selected cases.
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