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Issue: No. 89 (2025)
Section: Article
DOI: 10.58490/ctump.2025i89.3619
Date Published: 25/07/2025
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Nguyen, P. T. T., Nguyen, T. X., Ho, H. T., Hoang, M. L., Nguyen, T. T. T., Pham, T. V., Vu, H. A., Mai, T. H., & Nguyen, N. (2025). EVALUATION OF POSTOPERATIVE COURSE OF CONGENITAL GASTROINTESTINAL MALFORMATIONS IN THE NEONATAL PERIOD. Cantho Journal of Medicine and Pharmacy, 89, 316-324. https://doi.org/10.58490/ctump.2025i89.3619

EVALUATION OF POSTOPERATIVE COURSE OF CONGENITAL GASTROINTESTINAL MALFORMATIONS IN THE NEONATAL PERIOD

Phuc Thu Trang Nguyen1,2, , Thanh Xuan Nguyen2, Huu Thien Ho2, Mai Linh Hoang2, Thi Thao Trinh Nguyen2, Trung Vy Pham2, Hoai Anh Vu2, Trung Hieu Mai2, Nom Nguyen2
1 University of Medicine and Pharmacy, Hue University
2 Hue Central Hospital

Main Article Content

Abstract

Background: Neonates with gastrointestinal malformations requiring surgery present challenges in the postoperative care process. We initially applied the early recovery after surgery (ERAS) guidelines in the postoperative care of newborns. Objectives: To evaluate the postoperative outcomes in congenital gastrointestinal malformations at Hue central hospital. Materials and methods: A prospective descriptive study was conducted on 42 neonates diagnosed with congenital gastrointestinal malformations and indicated for surgery from January 2023 to June 2024. Results: The study selected 42 neonates with 19% preterm infants, 45.2% male infants, and 26.2% low birth weight infants. The average duration of mechanical ventilation after surgery was 1.9 days. The average postoperative day of initiation of enteral nutrition was 4.9 days and the postoperative day of total enteral nutrition was 10 days. The group of anorectal malformations received formula feeding the earliest (1.9 days) and achieved total enteral nutrition the fastest (4.3 days), the group of duodenal obstruction received formula feeding the latest. The most common postoperative increase in CRP was after intestinal obstruction surgery (13/16 children). The most common postoperative complication was sepsis (12/39 children). The postoperative mortality rate was 7.1%. Conclusions: Advanced recovery strategies after surgery including priority use of acetaminophen for pain relief, early enteral nutrition, etc. can be initially applied to neonates. 

Keywords

Gastrointestinal malformations, post-operative care, neonates

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