Comparative study between post operative early versus late enteral nutrition in patients undergoing elective laparotomies in a tertiary care hospital

Prasanna Srinivasa Rao, H (2014) Comparative study between post operative early versus late enteral nutrition in patients undergoing elective laparotomies in a tertiary care hospital. Masters thesis, Madras Medical College, Chennai.

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Abstract

INTRODUCTION: Post operative starvation is the most common wide spread practice after gastro Intestinal surgery. The rationale of nil by mouth and gastric decompression is to prevent post operative nausea and vomiting and protect the anastomosis allowing it time to heal before being stressed by food. But in actual practice deferral of post operative enteral nutrition may be harmful. OBJECTIVES OF THE STUDY: To study the impact of early enteral feeding as compared to late enteral feeding post operatively in patients undergoing elective laparotomies 1. Return of bowel function. 2. Incidence of general complications. 3. Incidence of surgery specific complications and mortality. 4. Total duration of hospital stay. MATERIALS AND METHODS: All patients undergoing elective laparotomies including upper gastrointestinal, hepatobiliary, colorectal and surgeries involving excessive bowel handling in the Department of General Surgery at Rajiv Gandhi Government General Hospital, Chennai-600003 in the period of June 2013 to November 2013 are included in this study. The study is a prospective study. Study volume 100 patients. CONCLUSION: The final conclusions drawn from this study comparing early versus late enteral nutrition in the post operative patients undergoing elective laparotomies are as follows: 1. Length of hospital stay, wound infection, general complications not direct consequence of surgery is significantly decreased in early enteral feeding group. 2. No significant difference was noted with Anastomotic leak, paralytic ileus rate between two groups. 3. Patients tolerance for oral feeding was better in late feeding.

Item Type: Thesis (Masters)
Uncontrolled Keywords: post operative early ; late enteral nutrition ; undergoing elective laparotomies ; tertiary care hospital ; Comparative study.
Subjects: MEDICAL > General Surgery
Depositing User: Devi S
Date Deposited: 05 Jul 2018 03:43
Last Modified: 05 Jul 2018 16:34
URI: http://repository-tnmgrmu.ac.in/id/eprint/8625

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