Abid Halim, Kamran Ahmad, Ijaz Ahmad.
Comparative Effectiveness of Early vs Delayed Oral Feeding after Elective Intestinal Anastomosis.
Ophthalmol Update Jan ;12(1):75-8.

Objective: The objective of this study was to know the effectiveness of early versus conventional delayed enteral feeding in intestinal anastomosis in terms of anastomotic leak. Materials and Methods: 28 patients in each group were included in study to compare the effectiveness of early enteral feeding (Group A) and conventional enteral feeding (Group B) for intestinal anastomosis in terms of anastomotic leak on 5th postoperative day. Data was entered in software SPSS version 10.0. T test was applied to compare the effectiveness of both groups keeping p value < 0.05 as significant. Results: The mean ages of group A and B patients were 36.8 years + 10.2SD and 37.1 years + 25.0SD (P value = 0.9036). In group A, Ileostomy closure was done in 15 (53.57%) and ileocolic anastomosis was done in 13 (46.43%) patients. In group B, Ileostomy closure was performed in 19 (67.86%) patients and ileocolic anastomosis was done in 9 (32.14%) patients. (P value = 0.412). In group A, the intestinal anastomotic leak was observed in 1 (3.57%) patients and in group B with delayed enteral feeding, it was noted in 9 (32.14%) patients (P=0.012). Conclusion: The early feeding in patients with intestinal anastomosis is tolerable, as significantly small number of patients developed leak as compared to conventional group.

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