Repair of Type C Tracheo-esophageal Fistula/Esophageal Atresia With or Without Trans Anastomotic Tube: A Pilot Randomized Controlled Trial

jpedsurg.org

The use of trans anastomotic feeding tube (TAFT) during the repair of Esophageal atresia/Tracheo-esophageal fistula (EA/TEF) aims to enhance outcomes by enabling early feeding, reducing the requirement for parenteral nutrition, and reducing complications such as anastomotic leak by stenting the anastomosis. However, TAFT's benefits and drawbacks are debated due to conflicting reports. Thus, we conducted a prospective pilot randomized control trial to elucidate the impact of TAFT on postoperative outcomes and the potential benefits of avoidance of TAFT.

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Article · Sep 2024 · 1 min read

In brief

This pilot RCT examines whether using a trans anastomotic feeding tube during EA/TEF repair improves outcomes like early feeding and anastomotic leak rates, or if avoiding the tube offers advantages. The study addresses ongoing clinical debate about TAFT's role in neonatal esophageal surgery.

Trans anastomotic feeding tubes (TAFT) in EA/TEF repair aim to enable early enteral feeding and reduce parenteral nutrition dependence.
TAFT may reduce anastomotic leak risk by stenting the repair, but evidence remains conflicting regarding net clinical benefit.
This pilot RCT directly compares outcomes with vs. without TAFT to clarify whether routine tube placement improves postoperative results.
Key outcomes assessed include anastomotic leak rates, time to full feeds, and complications related to TAFT presence or absence.

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