Comparison of Early Versus Delayed Oral Feeding after Resection and Anastomosis of Gut

Ubaid Ullah Siddiqi; Ammad Ud Din Nasir; Sohail Ilyas; Khurram Sarfraz; Muhammad Omar Farooq; Shafqat Rehman

doi:10.51253/pafmj.v73i3.9444

Authors

Ubaid Ullah Siddiqi Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Ammad Ud Din Nasir Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Sohail Ilyas Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Khurram Sarfraz Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Muhammad Omar Farooq Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Shafqat Rehman Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i3.9444

Keywords:

Feeding, Gut resection, Postoperative complications

Abstract

Objective: To compare the outcomes of early versus delayed postoperative oral feeding in patients undergoing resection and anastomosis of the gut.

Study Design: Quasi-experimental study

Place and Duration of Study: Surgical Department of Pak Emirates Military Hospital, Rawalpindi Pakistan, from Jun 2020 to May 2021.

Methodology: A total of 30 patients fulfilling the selection criteria were enrolled after taking written informed consent and were randomly divided into two groups of equal numbers. Patients in Group-A received early oral feeding, and in Group-B had delayed oral feeding postoperatively, and the outcome measures were assessed till the patients were discharged.

Results: The mean duration of hospital stay in Group-A versus Group-B was 50.94 days vs. 60.74 days (p=0.005), the mean time to passage of the first flatus was 30.61 days vs. 50.48 days (p<0.001), and the mean time to passage of the first stool was 40.59 days vs. 50.48 days (p<0.001), respectively.

Conclusion: Early oral feeding following gut resection and anastomosis was significantly associated with the early passage of flatus and stool and shorter hospital stay than delayed oral feeding postoperatively.