Comparison of early versus late enteral feeding following gut anastomosis.

Authors

  • Zohra Jabeen DHQ Attock.
  • Ramlah Ghazanfor Holy Family Hospital, Rawalpindi.
  • Muhammad Usman Akram Akbar Niazi Hospital, Islamabad.
  • Sara Malik Holy Family Hospital, Rawalpindi.
  • Maham Tariq -
  • Mehwish Changeez THQ, Khushab.
  • Javaria Malik District Headquarter Hospital, Rawalpindi.
  • Khawaja Rafay Ghazanfar CMH, Lahore.
  • Ghulam Khadija Holy family Hospital, Rawalpindi.
  • Bilal Ahmad BHU Dharnal.

DOI:

https://doi.org/10.29309/TPMJ/2020.27.12.4355

Keywords:

Bowel Sounds, Enteral Feeding, Gut Resection, Gut Anastmosis, Nil Per Oral

Abstract

Objectives: To compare early feeding versus late enteral feeding following gut anastomosis in term of hospital stay. Study Design: Prospective Randomized Control study. Setting: Surgical Unit 1, Holy Family Hospital, Rawalpindi. Period: April to October 2017. Material & Methods: All patients, excluding paediatric age group (n= 60) undergoing emergency or non-emergency gut resection with primary anastomosis were incorporated. Two strata were devised. Group A (n=30) received early enteral feeding starting at 12th post-operative hours in form of 100-150ml fluid thrice daily. Group B endured being Nil per oral for 72hrs. Both groups were correlated for timing of return of bowel sounds and timespan of hospital stay. P value < 0.05 was considered noteworthy. Results: Overall 60 patients with 30 in each group were incorporated. They were predominantly males (55%) and belonged to middle age group (Group A=31.73+10.78 years; Group B= 36.00+10.53 years). Mean time for return of bowel sounds in both the groups was 24.40+5.88 hours and 35.20+10.88 hours respectively, which was striking (p value <0.05). Mean length of hospital stay in both the groups was also noteworthy i.e. 5.23+0.72 days and 6.40+1.67 days respectively. Conclusion: In the wake of gut anastomosis, early oral feeding at 12hours is superior to delayed oral feeding after 72hours, in terms of mean time for return of bowel sounds and period of hospital stay.

Author Biographies

Zohra Jabeen, DHQ Attock.

MBBS, FCPS

Consultant Surgeon

Ramlah Ghazanfor, Holy Family Hospital, Rawalpindi.

MBBS, FCPS

Senior Registrar Surgery

Muhammad Usman Akram, Akbar Niazi Hospital, Islamabad.

MBBS, MRCS, FCPS

Senior Registrar Surgery

Sara Malik, Holy Family Hospital, Rawalpindi.

MBBS

Postgraduate Resident Surgery

Maham Tariq, -

MBBS, MRCS, FCPS

Mehwish Changeez, THQ, Khushab.

MBBS, MRCS, FCPS

Senior Registrar Surgery

Javaria Malik, District Headquarter Hospital, Rawalpindi.

MBBS, FCPS

Senior Registrar Medicine

Khawaja Rafay Ghazanfar, CMH, Lahore.

4th Year Medical Student

Ghulam Khadija, Holy family Hospital, Rawalpindi.

MBBS

Postgraduate Resident Surgery

Bilal Ahmad, BHU Dharnal.

MBBS

Medical Officer Medicine

 

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Published

2020-12-10