Medical - Clinical Research & Reviews


Neonatal Postoperative Nutrition after Surgical Treatment of Digestive Atresia: Realities in Madagascar

Rakotondrainibe Aurelia*, Randriamizao Harifetra MR, Razafindrabekoto Lova DE, Rakotoarison Nicole RC.

Background: Digestive malformations are associated to a poor nutritional status in neonates. Postoperative fasting requirement is recommended to protect the anastomotic site. These can alter the quality of the postoperative healing; optimal nutritional support is then necessary. In Madagascar, adequate inputs for perioperative neonatal nutrition are failing. The aim of the study was to analyze the nutritional management of newborns operated for
digestive atresias in Antananarivo.

Methods: A 24-month retrospective study (January 2015 to December 2016) of Malagasy neonates admitted in surgical intensive care unit of CHUA J.R. Andrianavalona (Antananarivo-Madagascar), for operated digestive atresia was carried out. The Spearman correlation test was used (XLSTAT®) to assess correlation between postoperative nutrition and localization of the atresia, the length of stay and the neonatal outcome.

Results: Sixteen newborns, 4 (1-11) days old, mostly boys, weighing 2210 (1400-3030) g were retained. Among them, 11 patients received enteral breast milk with an administration time of 3 (1-5) days. It was correlated with the localization of the digestive atresia but not correlated with reoperation, length of stay and outcome. Nine neonates died, the length of stay was 7 (2-38) days.

Conclusion: Enteral breast milk can be interesting in postoperative nutritional management of digestive atresia in neonate, in Madagascar; especially since early enteral nutrition and breast milk have many benefits.