Current status of early feeding after intestinal anastomosis in infants in mainland China
Objective To explore the current status of early feeding after infantile intestinal anastomosis in mainland China and provide research rationales on the safety and efficacy of early feeding.Methods A questionnaire survey was conducted among pediatric surgeons at 51 domestic hospitals in mainland China.The topics included the status of understanding of early feeding after infantile intestinal anastomosis,necessity for implementation,contraindications,influencing factors of implementation and current status of implementation.Also clinical medical records were reviewed for infants undergoing intestinal anastomosis from October 2020 to December 2021.Categorical variables were examined by chi-square or Fisher's exact test.Results Sixty-one pediatric surgeons and 745 infants undergoing intestinal anastomosis participated in and completed the survey.Early feeding after infantile intestinal anastomosis was considered necessary or quite necessary by 49.18％and 40.98％of pediatric surgeons;49.18％and 37.7％of pediatric surgeons were already practicing early feeding after intestinal anastomosis respectively;39.34％of pediatric surgeons did not consider early feeding after neonatal intestinal anastomosis to be appropriate.Another 18.03％of pediatric surgeons also thought that early feeding was not suitable after non-neonatal intestinal anastomosis under an age of 3 months;40.98％,32.79％and 18.03％of pediatric surgeons thought that early feeding was not suitable after duodenal anastomosis,jejunostomy and ileo/colonic anastomosis respectively;overall early feeding rate was merely 22.28％and the figures in East China,Central China,South China and Southwest China were 28.86％,25.14％,25.42％and 22.09％;early feeding rates in neonates,small infants ≤3 months and infants＞3 months were 16.3％,20.3％and 37.6％with statistically significant differences(x2=23.198,P＜0.001);early feeding rates for duodenal anastomosis,jejunal anastomosis and ileal/colonic anastomosis were 19.5％,28.8％and 19.6％respectively with a statistically significant difference(x2=7.534,P=0.023).Conclusions The overall implementation rate of early feeding after infantile intestinal anastomosis is low in mainland China.Regional differences,operative age and anastomotic site may be important influencing factors for implementing early feeding after infantile intestinal anastomosis.
NETL
NSTL
万方数据
维普
