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Surgery on Children

Surgery on Children Journal aims to publish issues related to Pediatric Surgery, Pediatric Neurosurgery, Pediatric Plastic Surgery, Pediatric Cardiovascular Surgery, Pediatric Orthopedic Surgery, Pediatric Vascular Surgery, Pediatric Gynecology and Obstetrics, Pediatric Ear Nose Throat, Ophthalmology, Pediatric Anesthesiology and Reanimation, Pediatric Urology, Pediatric Surgical Intensive Care Clinic, and other clinical surgery fields on children of the highest scientific and clinical value at an international level and accepts articles on these topics.

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Original Article
Effect of mucous fistula refeeding in neonates with small bowel enterostomy at a low resource center- a prospective interventional study in a Bangladeshi pediatric surgical unit
Abstract
Aims: Neonates with small bowel enterostomy face substantial challenges in maintaining fluid balance, optimal nutrition and growth, especially in low- and middle-income countries (LMIC) where parenteral nutrition is not extensively available. Moreover, the discrepancy between proximal and unused distal loop often makes the anastomosis challenging and risky during closure. This study was aimed to describe a simple method of mucous fistula refeeding (MFR) in a resource constrained environment and to see the impact of MFR on growth and nutrition and distal intestine diameter.
Methods: A simplified MFR technique requiring minimal resources was employed, which was taught to and carried out by the caregivers. Distal loopogram was performed before commencement of MFR and before stoma closure. The weight gain and width difference of the distal loop at splenic flexure was measured. Statistical analysis was done in SPSS 26.0 and p <0.05 considered to be significant.
Results: We implemented MFR on ten consecutive neonates. The indications for enterostomy formation were meconium ileus (6), three among them were complicated, ileal atresia (3), and intestinal perforation (1). Mean rate of weight gain was 18 gm/day and mean gut width increment was 0.1 mm/day (p < 0.05). One patient (10%) had anastomotic leakage following stoma closure.
Conclusion: Mucous fistula refeeding is a safe method that can reduce nutritional complications and enhance growth, and reduce bowel lumen discrepancy, making the anastomosis safer during stoma closure.

Keywords : Small bowel enterostomy, mucous fistula refeeding, gut width

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Article available in :
Volume 1, Issue 4, 2024
Page : 79-83
https://doi.org/10.51271/SOC-0019
Article Information
Received : 28 Eyl 2024
Accepted : 18 Eki 2024
Published : 05 Ara 2024
Corresponding Author :

Umama Huq: Department of Pediatric Surgery, Bangladesh Shishu Hospital and Institute, Dhaka, Bangladesh

[email protected]
Citation : Huq U, Hasan S, Burgos CM, Rahman A. Effect of mucous fistula refeeding in neonates with small bowel enterostomy at a low resource center- a prospective interventional study: a single center experience in a Bangladeshi pediatric surgical unit. Surg Child. 2024;1(4):79-83.

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