Abstract
The study was conducted over a period of 18 months on 64 patients admitted in a tertiary care hospital in India with complaints of pain abdomen who underwent surgery on small intestine. Patients getting admitted were taken as ‘alternate’ case and control. In study group the nasogastric tube was removed 24 to 48 hours after operation and started oral feeding. In control group, nasogastric tube was maintained until the passage of flatus per rectum. The Study and Control group included 32 patients each. Postoperatively both group of patients were compared in terms of acceptance of first feed, duration of hospital stay and occurrence of complications.
Keywords: nil by mouth, nasogastric tube, ileus.
References
1. Smith J, Kelly KA, Weinshilboum RM: Pathophysiology of postoperative ileus. Arch Surg1977, 112:203-209.
2. Woods JH, Erickson LW, Condon RE, Schulte WJ, Sillin LF: Postoperative ileus: a colonic problem? Surgery 1978, 84:527-533.
3. Livingston EH, Passaro EP Jr: Postoper-ative ileus. Dig Dis Sci1990, 35:121-132.
4. Hotokezaka M, Mentis EP, Patel SP, Combs MJ, Teates CD, Schirmer BD: Recovery of gastrointestinal tract motility and myoelectric activity change after abdominal surgery. Arch Surg1997, 132: 410-417.
5. Resnick J, Greenwald DA, Brandt LJ: Delayed gastric emptying and postop-erative ileus after nongastric abdominal surgery: part I. Am J Gastroenteroly1997, 92:751-762.
6. Kristoffer Lassen, Jørn Kjæve et al Allowing Normal Food at Will After Major Upper Gastrointestinal Surgery Does Not Increase MorbidityAnn Surg2008;247: 721–729
7. Alfred Cuschieri, Gary C. Vitale, Colin R. Mackie, William G. Cheadle, Prophylactic Postoperative Nasogastric Decompression Ann Surgsept 1985 Vol. 202 No. 3: 361-365
8. Stephen J Lewis, Matthias Egger, Paul A Sylvester, Steven Thomas Early enteral feeding versus “nil by mouth” after gastrointestinal surgery: systematic review and metaanalysis of controlled trials BMJ 2001;323:1–5
9. Gurpreet Singh, R Prashanth Ram and Satish K Khanna, Early Postoperative Enteral Feeding in Patients with Nontraumatic Intestinal Perforation and Peritonitis. J Am Coll Surg Vol. 187, No. 2, August 1998 142-146
Corresponding Author
Dr Rohan Khairatkar
201/17, Champa Pushpa, Sarvoday Nagar, Mahavir Chowk, Near ICICI Bank,
Hotgi Naka, Solapur, Maharashtra 413003
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v4i10.47
