Outcomes and survival of infants with congenital duodenal obstruction following Kimura procedure with post-anastomosis jejunostomy feeding tube

Background: Several modifications of the Kimura procedure for congenital duodenal obstruction (CDO) have been reported, however, their effects on the outcomes show conflicting results. Methods: We compared the CDO outcomes following the Kimura procedure with and without post-anastomosis jejunostomy feeding tube (JFT). Results: A total of 52 CDO neonates were involved (JFT: 13 males and 2 females vs. non-JFT: 14 males and 23 females, p = 0.0019). Time to full oral feeding was significantly earlier in the JFT than non-JFT group (14 interquartile range (IQR), 12–15 vs. 17 IQR, 14–22.5 days; p = 0.04). Duration of parenteral nutrition given to infants with CDO after surgery was significantly shorter in the JFT than non-JFT group (12 IQR, 10–15 vs. 17 IQR, 13–23 days; p = 0.031). Moreover, enteral feeding was significantly earlier in the JFT than non-JFT group (2 IQR, 1–3.5 vs. 5 IQR, 4–6 days; p = < 0.0001). However, the length of stay following surgery was not significantly different between groups (16 IQR, 14–22 vs. 20 IQR, 17–28 days; p = 0.22). Also, overall patient survival did not significantly differ between JFT (66.7%) and non-JFT patients (59.5%) (p = 0.61). Conclusion: Jejunostomy feeding tube shows a beneficial effect on the time to full oral feeding, duration of parenteral nutrition and early enteral feeding in neonates with congenital duodenal obstruction after Kimura procedure. © 2021, The Author(s).