A Survey of Early Oral Feeding in Intestinal Anastomosis in Children Admitted in Tabriz Children Hospital Child Health Research Center- Tabriz University of Medical Sciences

Document Type : Research Paper

Authors

1 Professor of pediatrics Surgery, Tabriz University of Medical Sciences, Tabriz, Iran

2 Assistant professor ofpediatrics Surgery, Tabriz University of Medical Sciences, Tabriz, Iran

3 Assistant of General Surgery, Tabriz University of Medical Sciences, Tabriz, Iran

4 General M.D, Tabriz, Iran

Abstract

Introduction
Early feeding improves the outcome of patients with trauma and burns, although, few studies have examined its use after gastrointestinal (GI) anastomosis. A randomized controlled trail that compared an early regular diet with the conventional postoperative dietary management to determine GI complications and mortality after major GI anastomosis was conducted. The secondary purpose of this trial was to evaluate the incidence of postoperative ileus after major GI anastomosis with early feeding in comparison with the conventional diet. The purpose of this study was to compare early feeding with traditional postoperative dietary management for improvment of postoperative gastrointestinal (GI) symptoms.
Materials and Methods
We conducted a prospective randomized controlled study. This was a study of 80 patients who were randomly allocated to early feeding beginning with liquid diet, 3 days postoperative, whereas those in the traditional feeding group were given a regular diet with normal bowel sounds.
Results
The incidence of postoperative ileus did not differ between the two groups. However, there was no significant difference in the rate of intraoperative complications such as, leakage of anastomosis, mesenteric embolus, wound infection, and wound dehiscence between the groups. Also, there were no Considerable Variation in mortality between the two groups. There was noticeable contracst in time of bedridden between the two groups (p<0.001).
Conclusion
Early feeding in GI anastomosis seems to be safe, well tolerated, and was not associated with increased postoperative GI complaints including ileus and postoperative complications such as wound dehiscence, infection, leakage, anastomosis, and mortality.

Keywords

References

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medical journal of mashhad university of medical sciences
Volume 54, Issue 3 - Serial Number 3
September and October 2010
Pages 166-171

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