Manzoor Ahmed, Mukhtar Mehboob, Fida Ahmed, Khan Mohammad Babar, Mohammad Iqbal, Shoaib Ahmed Qureshi.
Comparison of Early Versus Late Oral Feeding After Elective Stoma Closure.
J Surg Pak Jan ;24(4):166-70.

Objective: To evaluate the outcome of early versus late oral feeding in elective intestinal anastomosis in terms of postoperative ileus, anastomosis leakage, wound infection and hospital stay. Study design: Comparative study. Place & Duration of study: Department of Surgery, Bolan University of Medical and Health Sciences Quetta and Mohtarma Shaheed Benazir Bhutto Hospital Quetta, from January 2017 to December 2018. Methodology: All patients with temporary stoma were included in this study. Patients with co-morbid conditions were excluded. Patients were divided in two groups. Group E and Group L. After preoperative assessment and informed consent patients were subjected to surgery. Data related to paralytic ileus, anastomotic leak, wound infection and hospital stay were recorded. In Group E oral sips were allowed within 24 hours while in Group L after 72 to 96 hours. Data were analyzed using SPSS version 20. The Chi-square test used to compare the difference. Results: A total of 156 patients were enrolled. There were 94 (60.3%) males and 62 (39.7%) females. Male to female ratio was 1.51:1. In group E, 8 (10.25%) patients developed paralytic ileus compared to 27 (34.61%) patients of group L (p <0.001). Postoperative anastomotic leak observed in 2 (2.56%) patients in group E while 7 (8.97%) had leak in group L (p=0.083). Infection developed in overall 36 (22.43%) patients. In group E 8 (10.25%) patients while in group L, 28 (35.89%) developed infection (p < 0.001). Hospital stay was significantly less in study group (P <0.001). Conclusion: Early oral feeding is safe and has significantly less complications.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com