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Category: Volume 08 Issue 11 November 2020
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Title: Early Enteral Feeding in Gastrointestinal Surgery

Authors: Dr R.Logesh Kumar, Dr N.Junior Sundresh, Dr D.Gopikrishna,  Dr P.Vigneshwaran, Dr A.P.S.Gurupraveen

 DOI: https://dx.doi.org/10.18535/jmscr/v8i11.07

Abstract

Traditionally, after abdominal surgery, the passage of flatus, or bowel movement was the clinical evidence for starting an oral diet. Studies were undertaken to evaluate whether different abdominal surgeries could benefit from early feeding. So a study was carried out prospectively to analyze the benefits and clinical outcome of 46 patients who received early enteral feeding following GI surgery. A nasogastric feeding tube placed by the surgeon beyond the pylorus through which continuous infusion of peptide-based diet was administered. NG feeds were started 4 to 6 hours following surgery and increased at a rate of 50 mL/hour on the postoperative day - Three. Feeds were given either distal or proximal to their anastomosis. 46 patients met the exclusion and inclusion criteria were included in the study. Enteral feeding was well tolerated by the patients with less side effects, in some case nausea and vomiting is present which is being the most frequent. 48 hours after surgery oral feeding was started. There is faster recovery of bowel function due to early enteral feeding. Enteral feeding also leads to a decreased hospital stay.

Keywords: feeding tube, elemental diet, gastrointestinal surgery, enteral nutrition.

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Corresponding Author

Dr D.Gopikrishna

Associate Professor, Dept of General Surgery, Rajah Muthiah Medical College and Hospital, Annamalai Nagar, Chidambaram, India, 608002