Abstract【Objective】To investigate the clinical effect of transnasal jejunal nutrition tube combined with tailored enterostomy in the treatment of neonatal high jejunal atresia.【Methods】The clinical data of 42 children with high jejunal atresia admitted to the Department of Neonatology, Zhujiang Hospital, Southern Medical University from January 2010 to December 2018 were retrospectively analyzed. According to the different surgical methods, they were divided into control group (intestinal anastomosis,n=20) and observation group (nasojejunal nutrition tube combined with tailored enterostomy,n=22). The incidence of complications, hospital stay, the first feeding time after operation and the total feeding time after operation were compared between the two groups.【Results】 There was no anastomotic leakage in the observation group and 1 case of intestinal obstruction after operation. On the 14th day after operation, intestinal adhesiolysis was performed. Postoperative recovery was good. In the control group, 2 cases had anastomotic leakage and 4 cases had intestinal obstruction after operation. There were significant differences in the cure rate, complication rate and mortality between the two groups (P<0.05). The first feeding time, total feeding time and hospitalization time in the observation group were significantly lower than those in the control group (P<0.05). 【Conclusion】Transnasojejunal nutrition tube combined with tailored jejunostomy can improve the surgical effect of congenital high jejunal atresia, shorten the hospital stay, reduce the complications of anastomotic leakage and intestinal obstruction after operation, and is an ideal surgical method for the treatment of congenital high jejunal atresia.
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2019, Vol. 36 
