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All Journal The New Ropanasuri Journal of Surgery
Tamba, Riana P
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology

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Transanastomotic Feeding Tube in Surgical Management of Congenital Duodenal Obstruction: Case Series Gunardi, Hardian; Rachmawati, Asri D; Susilo, Nanok E; Tamba, Riana P
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Introduction. Prolonged fasting is a major concern in the postoperative management of congenital duodenal obstruction. Massive dilatation of the proximal segment would lead to diameter discrepancy and lack of propulsion, thus delaying enteral feeding. A transanastomotic feeding tube is an option to deliver early enteral feeding after surgical correction. The study evaluates the effectiveness and safety of a transanastomotic feeding tubes in the surgical management of congenital duodenal obstruction. Method. The transanastomotic feeding tube's effectiveness in cases of congenital duodenal obstruction of the newborn underwent surgical correction was evaluated. Those managed from January 2016 to December 2018 at dr. Cipto Mangunkusumo and Fatmawati General Hospital were subjected to the evaluation. Results. Ten cases were recorded, with the mean gestational age of 30.4 weeks (SD ± 2.12), with a mean bodyweight of 2.571 g (SD ± 392). Seventy percent of the cases accompanied by other anomalies. Enteral nutrition was introduced immediately after surgery. The median time of oral nutrition initiation was 13 days (3-21), and the patients were fully fed in 19.5 days (13-37). The average length of stay was 24.5 days (16-40 days). One case had a complication requiring surgery, and mortality in two cases complicated with sepsis. Conclusion: Transanastomotic feeding tube is an option to deliver early enteral feeding after surgical correction of congenital duodenal obstruction.
Management of Internal Hernia in Neonates with Multiple Heart Diseases: A Case Report Tamba, Riana P; Wiradeni, Andi
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Internal hernia is a rare clinical entity. In all cases, less than 1% found as the cause of intestinal obstruction. However, delayed treatment of internal hernia may lead to necrosis of the intestines. Neonates with congenital heart disease may be at increased risk of morbidity and mortality than another concurrent disease. A male infant was delivered with a Cesarean section due to a congenital disorder of umbilical hernia, ventricular septal defect, and aortic transposition. The infant was born full-term with a 2,515 g birth weight and 3, 5, 7 APGAR score, positive ventilation, and intubation proceeded. Prostaglandin E1 10 mcg/kg/minute, packed blood cell, and thrombocyte concentrate was administered preoperatively. The patient underwent laparotomy for intestinal resection on day-3; the necrotic intestine was found starting 70 cm from ligament of Treitz to midsection of the transverse colon. Postoperatively, the stoma was vital, and we noted its production. The infant died one day14 due to respiratory failure caused by hospital-acquired pneumonia. Infants with an internal hernia and multiple congenital heart diseases require prompt management to prevent intestinal necrosis and other respiratory-related complications.
Co-Authors Gunardi, Hardian Rachmawati, Asri D Susilo, Nanok E Wiradeni, Andi