A COMPARATIVE STUDY BETWEEN EARLY AND STANDARD ENTERAL FEEDING AFTER BOWEL SURGERY.
Abstract
Background :
As per routine protocol, patients operated for resection and anastomosis of intestine, are kept nil per os till intestine starts functioning. But evidence from clinical studies and animal experiments suggests that initiating enteral feeding early is beneficial to patient. Enteral nutrition, especially early enteral nutrition, could effectively increase the blood flow of gut mucosa, stimulate the intestinal motility, maintain the gut integrity, decrease the incidence of infectious complications, ameliorate patient’s outcome after surgery.
Methods :
The comparative study includes 80 cases of intestinal resection and anastomosis, operated at Krishna Institute of Medical Sciences, Karad, Maharashtra, India, from August 2018 to July 2019 from which randomly 40 patients were selected for conventional nil per os approach and rest of 40 patients were given early enteral feeding within 1st 24 hours post operatively.
Results :
In the study most common age group, who undergone surgery in both case and control groups was between 51-60 years with male predominance in both groups. Most common surgery performed was right hemicolectomy for bowel malignancy in both groups. Case group had statistically significant low rate of wound infection, paralytic ileus and post-operative pain with less hospital stay. No significant difference in incidence of anastomotic dehiscence, intra-abdominal abscess or pneumonia was found.
Interpretation and Conclusion :
Early oral feeding is safe and if associated with careful selection and multimodal postoperative care promotes faster convalescence following bowel surgery.
Keywords
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