A Study on Early Enteral Feeding In Cases of Intestinal Anastomosis
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 6
Abstract
Abstract: Post-operative starvation was the most common practice after gastro intestinal surgeries. Conventional method of feeding is to keep the patient nil by mouth during the post-operative period to improve patient compliances and to protect the anastomotic site.Aim of the study isto study the effects of early enteral feeding with those of conventional feeding management in patients undergoing intestinal anastomosis compare the early enteral feeding and conventional feeding management. Patients who underwent intestinal anastomosis following surgeries like right hemicolectomy, low anterior resection, limited resection were selected post operatively, the patients in the study group were kept nil per orally for first 24 hours the nasal gastric tube was removed on the first post-operative day invariably after 24 hours of surgery, subjects were started on sips of clear liquids orally, the amount was gradually increased as tolerated by the patient. Of the 50 patients who underwent intestinal anastomosis, 25 were started on early enteral feeding, and 25 on conventional feeding methods Of the 50 patients 2 had anastomotic leak, 1 in the study group and 1 in the control group. It is seen that the incidence of anastomotic leak in the both the groups were the same and with the p ›0.9999, and there the two groups were not statistically different from one another. Of the total number of 50 patients, 12 were females, of which 9 were started on early enteral feeding and 3 were on conventional feeding, with 1 patient showing anastomotic leak (8.33%), 38 were males, of which study group had 16 patients and control group had 22 patients, with one patient showing anastomotic leak (2.63%). The following symptoms and signs are noted in both the study and control groups. Abdominal Pain, Nausea, Vomiting, Abdominal distension. Is seen though the incidence of post-operative complications seems to be higher in the study group, the two were significantly not different from one another.Anastomotic leak in both the groups was not significantly different Rate of Surgical site infection was reduced in Early feeding group Mean duration of Hospitalization is less in early group compared to conventional group Patient compliance in both the groups were not significantly different. The study failed to prove clear advantage of conventional feeding ever early enteral feeding. Keywords:Anastomotic leak, Abdominal Pain, Nausea, Vomiting, Abdominal distension.
Authors and Affiliations
R. Vijayalakshmi, Malarvizhi Chandrasekar
Keywords
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