Early enteral nutrition, issues to get an adequat progression during first hours until get a complete enteral feeding

Background: Despite of widespread belief, clinical studies and animal experiments have suggested that initiation of early feeding after surgery has many advantages. Present study was planned for comparing outcomes of early and late enteral feeding in patients who were undergoing gastrointestinal surgeries in our settings. This would help the surgeons to select better option for earlier recovery after surgery Objective: To compare the outcome of early versus late enteral feeding in patients undergoing gastrointestinal surgeries. Design: It was a randomized controlled trial. Study Settings: The study was conducted at Department of General Surgery, PIMS Islamabad for a period of six months w.e.f 20-12-2017 to 19-06-2018. Patients and Methods: A total of two hundred (n=200) patients of both gender between age 15-70 years, who had been scheduled for elective or emergency gastrointestinal surgery were enrolled in the study. Patients were randomized early (Group A, <24 hours after surgery) and late enteral feeding (Group B, <24 hours after surgery). Outcomes were estimated in terms of infection, anastomotic leak and duration of hospital stay in both groups. Results: Mean age of the patients was 36.8±11.2. There were total 85 females and 115 males with female to male ratio of 1:1.35. Mean duration of hospital stay was 2.62 days ± 0.71 in group A and it was 6.55 days ± 0.71 2.93SD in groups B (P=0.001). Wound infection rate (8% vs 33%, P=0.001) and anastomotic leak rate (0% vs 10%, P=0.001) was also significantly lower in group A when compared with group B. Conclusion: Initiation of early enteral feeding (within 24 hours post operatively) in patients undergoing gastrointestinal surgeries has an immediate advantage of caloric intake and results in faster recovery with fewer complications. Similar results are found in the literature. We recommend early initiation (within 24 hours after surgery) of enteral feeding in patients undergoing gastrointestinal surgeries. Keywords: Anostomotic leak, early enteral nutrition (EEN), late enteral nutrition (LEN).

Download Full-text

A PROSPECTIVE STUDY ON EARLY ENTERAL NUTRITION FOLLOWING GASTROINTESTINAL SURGERY

10.36106/ijsr/9834463 ◽

2020 ◽

pp. 20-22

Author(s):

Kaushik Mandal ◽

Madhusudan Chattopadhyay ◽

Debarshi Jana

Keyword(s):

Enteral Nutrition ◽

Prospective Study ◽

Enteral Feeding ◽

Paralytic Ileus ◽

Word Meaning ◽

Gastrointestinal Surgery ◽

Early Enteral Nutrition ◽

Early Enteral Feeding ◽

Time Period ◽

A Prospective Study

Background: The word anastomosis originates from the Greek word meaning communicating opening. Gut anastomosis is one of the frequently performed surgeries. As conventional practice following gut anastomosis, patients are kept “NIL BY MOUTH” till bowel sounds return. During this time period, patient remains with nasogastric tube for decompression of stomach and providing rest to the gut. Aim of the study on early enteral nutrition following gastrointestinal surgery. Methods: A prospective study was carried out over a period of 18 months in dept of General Surgery BMCH Burdwan. The aim of this study was to determine whether early enteral feeding (within 48hrs) after gastrointestinal surgery is tolerable and beneficial to the patient or not. Results: OF 54, 34 were male, 20 were female with a percentage of 63% and 37%. Every patient were given early enteral nutrition and only 6(11.1%) developed paralytic ileus, 16 (29.6%) patients developed gastrointestinal disturbances. Among 29 who underwent anastomosis 3(10.3%) patients had anastomotic leak. Among 54, 9(16.7%) developed SSI (11.1%) developed chest infection. Conclusion: It can be concluded that early enteral feeding induces quicker recovery of postoperative gastrointestinal movements in patients. Early enteral feeding reduces SSI> It is safe and effective I postoperative patients, even if there is apparent ileus. There is no significant correlation between early enteral nutrition and development of complications (ie anastomostic leak, paralytic ileus and postoperative chest infections).

Download Full-text