EARLY ORAL FEEDING VERSUS DELAYED ORAL FEEDING IN PATIENTS UNDERGOING INTESTINAL RESECTION

Document Type : Original Article

Authors

Department of General Surgery, Mansoura University Hospital, Mansoura Faculty of Medicine, Mansoura, Egypt.

Abstract

Aim: This study was conducted to evaluate early oral feeding versus delayed feeding after intestinal resection. 
Methods: In the period from June 2005 to September 2006 this study included 240 patients who underwent intestinal resection either elective or emergency, they were randomized into two groups. Group (A) included 120 patients with early oral feeding and group (B) with delayed oral feeding. Patients were followed up for a period of 3-12 months. 
Results: Twenty four (20%) patients in group (A) had leakage versus 28 (23.3%) in (B), (p=0.531). Sixteen (13.3%) patients 
were explored in group (A) versus 18 (15%) in (B), (p= 0.711). In group (A) 15 (12.5%) patients had local complications versus 14 (11.3%) in (B), this was not of statistical significance. Hospital stay was significantly shorter in group A than (B) with mean stay of (2.5 + 1.7) versus (9.93 + 2.60) days respectively. General complications were less frequent in group (A) versus (B) with more patient satisfaction and early return to work, but readmissions were more frequent among group (A) (5 versus 2). Regarding mortality 9 (7.5%) patients died in group (A) versus 8 (6.6%) in (B), (p= 0.333). 
Conclusion: Early oral feeding after intestinal resection is well tolerated and safe with better outcome.

Keywords

The Egyptian Journal of Surgery
Volume 25, Issue 4
October 2006
Pages 200-205

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