Congenital duodenal obstruction : trends in treatment and patient-reported outcomes
Martin Alavi Treider
Bok · Engelsk · 2025 · Doktoravhandlinger
Tekstet på: Engelsk, Bokmål
| Omfang | 1 bind (varierende paginering) : figurer
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| Opplysninger | Delvis opptrykk av artikler. - Årstall på tittelblad: 2024. - Avhandling (Ph.D) - Universitetet i Oslo, 2025. - Publisher description: "This thesis focuses on neonatal surgery, specifically congenital duodenal obstruction (CDO). The research investigates various aspects of treatment and outcomes for CDO, including changes in treatment methods, the impact of transanastomotic feeding tubes (TAFT) on treatment outcomes, the implementation of an Enhanced Recovery Protocol (ERP), and clinical and patient-reported long-term outcomes. Findings indicate no significant changes to mortality, complication rates, or hospital stay during 25 years, though there was an increase in TAFT usage and prenatal diagnoses. While TAFT appeared to shorten the duration of treatment, this did not translate into improved outcomes, such as reduced complications or shorter length of stay. The implementation of ERP proved to be safe and feasible, with no rise in complications, and contributed to faster recovery. The results also revealed earlier breastfeeding and enteral nutrition after implementation. In the follow-up study, a significant percentage of patients reported gastrointestinal symptoms, possibly related to their post-discharge follow-up of these patients. Finally, one-third of the cohort reported cosmetic concerns or pain related to scars, which highlights the need for the increased use of minimally invasive techniques to improve scar appearance."
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| ISBN | 9788234806483
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