Effect of early enteral nutrition on clinical outcome of patient after surgical treatment of gut perforations
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 8, Issue 1
Abstract
Background: The rationale of nil by mouth is to prevent postoperative nausea and vomiting and to protect the anastomosis, allowing it a time to heal before being stressed by food. Contrary to widespread opinion, evidence from clinical studies and animal experiments suggests that initiating feeding early is advantageous. Aim: To study the benefits of early enteral nutrition in patients who undergo surgical treatment for the gut perforations with regard to the time of Paralytic ileus recovery, period of hospital stays, tolerance to diet, nutritional status of the patient and nitrogen balance (NB) rate post-surgery. Result: In the Test Group fever was seen in 4 patients (23.53%) with distension and diarrhoea in one patient each (5.89%). Hypoalbuminaemia was noted in one patient (5.89%). Two patients had to be admitted in SICU (11.76%). These two patients had to be shifted to the SICU only for observation as the patient had presented to the hospital 4 days late to the hospital. One Patient developed vomiting for which the feed had to stop on POD -3 and the feed was regained on POD 4. In the control Group 5 patients developed hypoalbuminaemia (29.41%), two developed Vomiting persistent (11.76%), Two patients Pedal oedema (11.76%). Two patients were shifted to SICU Post operatively because the developed ARDS. Three Patients developed ARDS (17.76%) and were intubated. Pleural effusion in one patent (05.89%). One patient developed distension (05.89%) and 4 patients developed surgical site infections (23.53%). In our Study the mean hospital stay for the Test Group was 10.06 days whereas for the control group it was 19.47 days (p=0.000). In our study the mean weight loss among the patient within the Test and the Control Group was 3.41kg and 6.64kg respectively. Conclusion: Early enteral feeding significantly reduces the length of hospital stay in the postoperative patients of Perforation Peritonitis, less complications and improvement in general wellbeing.
Authors and Affiliations
Tejinder S chhabda, , Anuj N Singhi, Mohd Abdul Rehman Tamboli, Tanvi Tolat
Keywords
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- EP ID EP471927
- DOI 10.26611/106814
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