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ORIGINAL ARTICLE
Year : 2015  |  Volume : 3  |  Issue : 2  |  Page : 33-38

To compare the safety, benefits, and incidence of postoperative complications among patients having early oral feeding versus traditional feeding in postoperative period following elective intestinal anastomosis


1 Department of Urology, IGMC, Shimla, Himachal Pradesh, India
2 Department of Surgery, IGMC, Shimla, Himachal Pradesh, India

Correspondence Address:
Manjeet Kumar
Department of Urology, IGMC, Shimla - 171 001, Himachal Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2320-3846.175208

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Objective: To compare the safety, benefits and incidence of postoperative complications among patients having early oral feeding versus traditional delayed feeding in postoperative period following elective intestinal anastomosis. Methods: This prospective study was conducted in the department of surgery IGMC Shimla. A total of 40 patients undergoing elective routine intestinal anastomosis were included in this studyIn study group patients were fed early within 8 hrs after surgery starting with liquids, semisolids. In control groups patients were started oral feeding after appearance of bowel sounds, passage of flatus and stool. Patients were matched according to age, sex, indication of surgery, nutritional status. Analysis was done using student t-test regarding timing of appearance of bowel sounds, nausea and vomiting, passage of flatus and stool, postoperative complications, duration of stay. Results: Five patients in study and four patients in control group developed postoperative nausea and vomiting (P>0.05). Average time for appearance of bowel sounds was 0.95 ± 0.39 day in study group and 1.85 ± 0.67 days in control group (P<0.05). In study group mean time to pass flatus was 1.3 ± 0.8 days and 2.7 ± 0.92 days in control group (P<0.05). Mean time for passage of stool was 3.5 ± 1.05 days in study group compared to 4.8 ± 1.79 days in control group (P>0.05). In our study mean time for resumption of normal feeds was 6.05 ± 2.31 days in study group and 8.25 ± 2.75 days in control group (P<0.05). In our study 2 (10%) patients had wound infection in study group while it is 3 (15%) in control group. In control group there was 1 case of anastomotic leak. Patient was explored and transverse loop colostomy was done. Average hospital stay in study group was 7.25 ± 3.57 days while it was 10.9 ± 6.88 days in control group (P>0.05). Conclusions: Early oral feeding after elective intestinal anastomosis is well tolerated. It helps in resolution of ileus, decreased wound infection and improved wound and anastomotic healing leading to shorter hospital stay.


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