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Objectives: To compare early feeding versus late enteral feeding following
gut anastomosis in term of hospital stay. Study Design: Prospective Randomized Control
study. Setting: Surgical Unit 1, Holy Family Hospital, Rawalpindi. Period: April to October
2017. Material & Methods: All patients, excluding paediatric age group (n= 60) undergoing
emergency or non-emergency gut resection with primary anastomosis were incorporated.
Two strata were devised. Group A (n=30) received early enteral feeding starting at 12th postoperative hours in form of 100-150ml fluid thrice daily. Group B endured being Nil per oral
for 72hrs. Both groups were correlated for timing of return of bowel sounds and timespan of
hospital stay. P value < 0.05 was considered noteworthy. Results: Overall 60 patients with
30 in each group were incorporated. They were predominantly males (55%) and belonged to
middle age group (Group A=31.73+10.78 years; Group B= 36.00+10.53 years). Mean time
for return of bowel sounds in both the groups was 24.40+5.88 hours and 35.20+10.88 hours
respectively, which was striking (p value <0.05). Mean length of hospital stay in both the groups
was also noteworthy i.e. 5.23+0.72 days and 6.40+1.67 days respectively. Conclusion: In the
wake of gut anastomosis, early oral feeding at 12hours is superior to delayed oral feeding after
72hours, in terms of mean time for return of bowel sounds and period of hospital stay
Zohra Jabeen, Bilal Ahmad, Ghulam Khadija, Khawaja Rafay Ghazanfar, Javaria Malik, Mehwish Changeez, Maham Tariq, Sara Malik, Muhammad Usman Akram. (2020) Comparison of early versus late enteral feeding following gut anastomosis., The Professional Medical Journal, Volume 27, Issue 12.
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