WOFAPS 2025 8th World Congress of Pediatric Surgery

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Oral Presentation - 1

Does tapering enteroplasty accelerate recovery in intestinal atresia management?

Sarper Müftüoğulları 1, İzzet Şevketoğlu 2, Can İhsan Öztorun 3, Elif Emel Erten 2, Vildan Selin Çayhan 2, Ahmet Ertürk 3, Süleyman Arif Bostancı 3, Yağmur Cansu Yıldırım 2, Aslı Nur Abay 2, Sabri Demir 2, Müjdem Nur Azılı 3, Emrah Şenel 3
1 Kastamonu State Hospital, Department of Pediatric Surgery, Kastamonu
2 Ankara Bilkent City Hospital Department of Pediatric Surgery, Ankara
3 Ankara Yıldırım Beyazıt Unıversıty Medical Faculty Department of Pediatric Surgery

Introduction:
Tapering enteroplasty is a surgical technique employed to manage dilated proximal bowel segments in intestinal atresia, aiming to improve peristaltic function and expedite recovery. Although previous studies have suggested clinical benefits, the evidence remains limited. This study evaluates the impact of tapering enteroplasty on postoperative outcomes in pediatric intestinal atresia and compares our findings with existing literature.

Methods:
We retrospectively reviewed 104 pediatric patients who underwent surgery for intestinal atresia between 2009 and 2025. Patients were categorized into two groups: those who underwent tapering enteroplasty (n=26) and those who did not (n=78). Outcomes assessed included total parenteral nutrition (TPN) duration, time to initiate oral feeding, length of hospital stay, and postoperative complications.

Results:
Tapering enteroplasty was associated with significantly shorter TPN duration (p=0.005), earlier initiation of oral feeding (p=0.01), and reduced hospital stay (p=0.026) compared to the non-tapering group. Additionally, the postoperative complication rate was lower in the tapering group. These findings are consistent with recent studies that support the clinical value of tapering enteroplasty in enhancing recovery.

Conclusions:
Tapering enteroplasty is a safe and effective surgical adjunct in the management of intestinal atresia, particularly in cases with dilated bowel segments. Our results demonstrate that tapering enteroplasty facilitates faster nutritional recovery and reduces complications, contributing valuable evidence to support its broader adoption in pediatric surgical practice.

Keywords: Keywords: Tapering enteroplasty, Intestinal atresia, Pediatric surgery, Postoperative recovery, Nutritional outcomes

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