Early enteral feeding and delayed enteral feeding: A comparative study

Barath Raj Kumar, S (2013) Early enteral feeding and delayed enteral feeding: A comparative study. Masters thesis, Kilpauk Medical College, Chennai.


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AIM OF THE STUDY: To evaluate if early commencement of enteral nutrition compared to traditional management (delayed enteral feeding) is associated with fewer complications and improved outcome: 1. In patients undergoing elective / emergency gastrointestinal surgery; 2. In patients with acute pancreatitis. DESIGN: The following study was conducted in Kilpauk Medical Mollege and Hospital. It is a prospective cohort interventional study, the source of the study being patients admitted in general surgery and surgical gastroenterology wards for either gastrointestinal surgeries or acute pancreatitis. The period of longitudinal observation was from July 2012 to November 2012. Inclusion and exclusion criteria were drawn up and only those patients satisfying both these criteria were included in the study. Patients admitted in my unit for GIT surgeries or acute pancreatitis constituted the test group while patients, while patients admitted in other units for similar disease processes constituted the control group. The sample size of the study was fixed at 100, the breakdown of which is as follows: 1. Test group (TG) – Patients were pooled from my unit (25 patients undergoing GIT surgeries + 25 patients diagnosed with acute pancreatitis); 2. Control group (CG) – Patients were pooled from neighbouring units (25 patients undergoing GIT surgeries + 25 patients diagnosed with acute pancreatitis). MAIN OUTCOME MEASURES: Anastomotic dehiscence, wound infection, Respiratory Infection, Day to pass flatus. Day to initiation of bowel sounds, intra-abdominal abscess, length of hospital stay, Serum Albumin, Weight gain, Post op fatigue. RESULTS AND CONCLUSION: Early enteral feeding was beneficial, associated with fewer complications, and was cost effective in the study. Nutrition is now regarded as a medical intervention, and this was aptly personified by Thoma Edison - The doctor of the future will no longer treat the human frame with drugs, but rather will cure and prevent disease with nutrition. If the gut works, use it. This is the theory behind early enteral feeding.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Early enteral feeding ; delayed enteral feeding ; comparative study.
Subjects: MEDICAL > General Surgery
Depositing User: Devi S
Date Deposited: 06 Jun 2018 16:18
Last Modified: 06 Jun 2018 16:18
URI: http://repository-tnmgrmu.ac.in/id/eprint/8245

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