Comparison of outcomes between complete and incomplete congenital duodenal obstruction

Table 5 Postoperative outcomes for 50 patients with complete or incomplete congenital duodenal obstruction undergoing operative repair

	Complete	Incomplete	P value
	n = 261	n = 23
Time from OP to initiation of feeds (d)	3.0 (0-12)	1.0 (0-3)	< 0.01a
No CHD + GA ≥ 37 wk (d)	4 (2-12), n = 4	1 (0-3), n = 15	< 0.01a
Time from OP to full feeds (d)	12.0 (5-22)	6.0 (1-13)	< 0.01a
No CHD + GA ≥ 37 wk (d)	10.5 (5-22), n = 4	6 (3-11), n = 15	0.09
Length of postop. hospital stay (d)	25 (7-40)	9 (3-24)	< 0.01a
No CHD + GA ≥ 37 wk (d)	15.5 (7-25), n = 4	8 (3-21), n = 15	0.14
	n = 27	n = 23
Morbidity (Clavien-Dindo grade I-V), n (%)	15 (56)	2 (9)	< 0.01a
No CHD + GA ≥ 37 wk, n (%)	1 (25), n = 4	1 (7), n = 15	0.39
Surgical morbidity, n (%)	7 (26)	1 (4)	0.06
No CHD + GA ≥ 37 wk, n (%)	1 (25), n = 4	0 (0), n = 15	0.21
Nonsurgical morbidity, n (%)	12 (44)	1 (4)	< 0.01a
No CHD + GA ≥ 37 wk, n (%)	0 (0), n = 4	1 (7), n = 15	1
Mortality, n (%)	1 (3.7)	0 (0)	1
Reoperation, n (%)	3 (12)	0	0.24
Comprehensive complication index	8.7 (0.0-100)	0.0 (0.0-33.7)	< 0.01a
No CHD + GA ≥ 37 wk	0 (0-58.4), n = 4	0 (0-8.7), n = 15	0.30
Follow-up (yr)	5.2 (0.4-13.8)	3.9 (0.8-13.1)	0.41

^aP < 0.05.

¹Parameters time from operative to feeds and length of postoperative hospital stay were calculated from n = 26 since one patient in the complete group died during initial in-patient treatment (severe cardiac decompensation); reoperation was defined as a repetition of a surgical operation undertaken due to lack of success of the first attempt over the whole period of observation; reasons for reoperation included (initially missed) Ladd´s bands or anastomotic leakage of the duodenoduodenostomy; other adverse events that needed an operative intervention (i.e., pleural drainage) are found in Table 6. No CHD + GA ≥ 37 wk represents only patients born at gestational age 37 wk or later without congenital heart disease. GA: Gestational age; CHD: Congenital heart disease.