Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica · 2026
Impact of early enteral nutrition after transit reconstruction in pediatrics.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Sáenz Molina M, Fanjul Gómez M, Monje Fuente S, Bueno Romero J, Israel Benchaya S D, Peláez Mata D J, Pérez Egido L, Del Cañizo López A, García Casillas M A, Cerdá Berrocal J A, de Agustín Asensio J C
Аннотация
INTRODUCTION: Restoration of intestinal continuity is a common procedure in pediatric surgery. However, controversy persists regarding the optimal timing for initiating postoperative enteral nutrition. Although traditionally a delayed start has been recommended to reduce the risk of complications such as anastomotic leak or paralytic ileus, recent studies in adult populations suggest benefits of early initiation. Evidence in the pediatric population is limited. This study evaluates the safety and clinical outcomes of early versus late enteral nutrition in children undergoing intestinal continuity restoration.
MATERIAL AND METHODS: Prospective, single-center study with 43 pediatric patients operated between 2018 and 2025. Two groups were compared: early enteral nutrition via oral route (6 hours after surgery) and late nutrition. Demographic variables, type of ostomy, time to recovery of intestinal transit, postoperative complications, duration of epidural analgesia, and length of hospital stay were analyzed.
RESULTS: No differences were observed in the overall complication rate between the groups. Patients who received early enteral feeding showed an earlier start of intestinal transit (p= 0.002) and a significant reduction in hospital stay (p= 0.04).
CONCLUSIONS: The early initiation of oral enteral nutrition after intestinal transit reconstruction in pediatric patients was associated with a shorter time until the restoration of intestinal transit and a reduction in hospital stay, with no observed increase in the incidence of complications. However, multicenter studies with a larger sample size are needed to confirm these findings and establish more robust recommendations.
MATERIAL AND METHODS: Prospective, single-center study with 43 pediatric patients operated between 2018 and 2025. Two groups were compared: early enteral nutrition via oral route (6 hours after surgery) and late nutrition. Demographic variables, type of ostomy, time to recovery of intestinal transit, postoperative complications, duration of epidural analgesia, and length of hospital stay were analyzed.
RESULTS: No differences were observed in the overall complication rate between the groups. Patients who received early enteral feeding showed an earlier start of intestinal transit (p= 0.002) and a significant reduction in hospital stay (p= 0.04).
CONCLUSIONS: The early initiation of oral enteral nutrition after intestinal transit reconstruction in pediatric patients was associated with a shorter time until the restoration of intestinal transit and a reduction in hospital stay, with no observed increase in the incidence of complications. However, multicenter studies with a larger sample size are needed to confirm these findings and establish more robust recommendations.