{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T05:11:41Z","timestamp":1780722701530,"version":"3.54.1"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,3,4]],"date-time":"2021-03-04T00:00:00Z","timestamp":1614816000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,3,4]],"date-time":"2021-03-04T00:00:00Z","timestamp":1614816000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Gastroenterol"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Several modifications of the Kimura procedure for congenital duodenal obstruction (CDO) have been reported, however, their effects on the outcomes show conflicting results.\n<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We compared the CDO outcomes following the Kimura procedure with and without post-anastomosis jejunostomy feeding tube (JFT).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 52 CDO neonates were involved (JFT: 13 males and 2 females vs. non-JFT: 14 males and 23 females, <jats:italic>p<\/jats:italic>\u2009=\u20090.0019). Time to full oral feeding was significantly earlier in the JFT than non-JFT group (14 [interquartile range (IQR), 12\u201315] vs. 17 [IQR, 14\u201322.5] days; <jats:italic>p<\/jats:italic>\u2009=\u20090.04). Duration of parenteral nutrition given to infants with CDO after surgery was significantly shorter in the JFT than non-JFT group (12 [IQR, 10\u201315] vs. 17 [IQR, 13\u201323] days; <jats:italic>p<\/jats:italic>\u2009=\u20090.031). Moreover, enteral feeding was significantly earlier in the JFT than non-JFT group (2 [IQR, 1\u20133.5] vs. 5 [IQR, 4\u20136] days; <jats:italic>p<\/jats:italic>\u2009=\u2009&lt;\u20090.0001). However, the length of stay following surgery was not significantly different between groups (16 [IQR, 14\u201322] vs. 20 [IQR, 17\u201328] days; <jats:italic>p<\/jats:italic>\u2009=\u20090.22). Also, overall patient survival did not significantly differ between JFT (66.7%) and non-JFT patients (59.5%) (<jats:italic>p<\/jats:italic>\u2009=\u20090.61).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Jejunostomy feeding tube shows a beneficial effect on the time to full oral feeding, duration of parenteral nutrition and early enteral feeding in neonates with congenital duodenal obstruction after Kimura procedure.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12876-021-01679-8","type":"journal-article","created":{"date-parts":[[2021,3,4]],"date-time":"2021-03-04T14:03:26Z","timestamp":1614866606000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Outcomes and survival of infants with congenital duodenal obstruction following Kimura procedure with post-anastomosis jejunostomy feeding tube"],"prefix":"10.1186","volume":"21","author":[{"given":"Munawir","family":"Makkadafi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aditya Rifqi","family":"Fauzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Setya","family":"Wandita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akhmad","family":"Makhmudi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4707-6526","authenticated-orcid":false,"family":"Gunadi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,3,4]]},"reference":[{"key":"1679_CR1","doi-asserted-by":"publisher","first-page":"1051","DOI":"10.1016\/B978-0-323-07255-7.00081-7","volume-title":"Pediatric surgery","author":"H Applebaum","year":"2012","unstructured":"Applebaum H, Sydorak R, et al. Duodenal atresia and stenosis-annular pancreas. In: Coran AG, et al., editors. Pediatric surgery. 7th ed. Amsterdam: Mosby Elsevier ; 2012. p. 1051\u20138.","edition":"7"},{"key":"1679_CR2","doi-asserted-by":"publisher","first-page":"867","DOI":"10.1016\/j.jpedsurg.2004.02.025","volume":"39","author":"MA Escobar","year":"2004","unstructured":"Escobar MA, et al. Duodenal atresia and stenosis: long-term follow-up over 30 years. J Ped Surg. 2004;39:867\u201371.","journal-title":"J Ped Surg"},{"key":"1679_CR3","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2019-317085","author":"GS Bethell","year":"2019","unstructured":"Bethell GS, Long AM, Knight M, Hall NJ, BAPS-CASS. Congenital duodenal obstruction in the UK: a population-based study. 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