African Journal of Paediatric Surgery About APSON | PAPSA  
Home About us Editorial Board Current issue Search Archives Ahead Of Print Subscribe Instructions Submission Contact Login 
Users Online: 290Print this page  Email this page Bookmark this page Small font size Default font size Increase font size 
Year : 2019  |  Volume : 16  |  Issue : 1  |  Page : 29-32

Transanastomotic tube in intestinal atresia: How beneficial are they?

1 Department of Paediatric Surgery, CM Hospital, Pt JNM Medical College and Associated Dr BRAM/DKS Hospital, Raipur, India
2 Department of Paediatric Sugery, Pt JNM Medical College and Associated Dr BRAM/DKS Hospital, Raipur, India
3 Department of General Surgery, Pt JNM Medical College and BRAM Hospital, Raipur, India
4 Department of Community Medicine, Pt JNM Medical college, Raipur, India
5 Department of Anaesthesia, CM Hospital and Associated Medical College, Bhilai, Chhattisgarh, India

Correspondence Address:
Dr. Nitin Sharma
Department of Paediatric Surgery, Pt. JNM Medical College and Associated Dr BRAM/DKS hospital, Raipur - 492 001, Chhattisgarh
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajps.AJPS_101_17

Rights and Permissions

Introduction: Intestinal atresia requires multiple surgeries and long hospital stay. We tried managing these cases by primary anastomosis with transanastomotic tube (TAT) for early feeding. Aims: The aim of the study was to analyse the outcomes in patients of intestinal atresia who underwent primary anastomosis with a TAT. Materials and Methods: The records between June 2014 and November 2017 were analysed. Those with incomplete data or unclear final outcome were excluded. Patients managed by primary anastomosis with TAT (Group A) or without TAT (Group B) were included. The TAT was kept for 6 weeks. Oral feeds were started after 2 weeks in all the cases. P < 0.05 was considered as statistically significant. Results: Forty-eight cases were included. There were two duodenal atresia, 29 jejunal atresia and 17 ileal atresia. The mean age at surgery was 2 days (range: 1–16 days). There were 42 cases in Group A (with TAT) and six in Group B (without TAT). The average duration of start of feeds was 78 h (range: 72–96 h) in Group A and 402 h (range: 360–504 h) in Group B (P = 0.01). The mean duration of hospital stay was 7 days (range: 5–15 days) and 27 days (range: 19–48 days) in Group A and B, respectively (P = 0.02). The overall survival was 38 (91%) and 3 (50%) in Group A and B, respectively (P = 0.01). Reexploration was required in 2/42 and 2/6 cases in Group A and B, respectively (P = 0.4). Total parental nutrition was required in 2/42 and all cases in Group A and B, respectively. Conclusion: Primary repair in intestinal atresia with a TAT is a practical option. The overall outcome is better.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded168    
    Comments [Add]    

Recommend this journal