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Research Paper | Health and Medical Sciences | India | Volume 14 Issue 2, February 2025 | Popularity: 5.7 / 10
A Prospective Randomized Controlled Study on Early Enteral Nutrition Therapy Following Gastrointestinal Surgery
Dr. Manas Pandey, Dr. Biranchi Narayan Lenka, Dr. Prajit Nayak, Dr. Debashis Nanda
Abstract: Background: In recent years, early enteral nutrition therapy (EEN) has gained attention as a potential strategy to enhance recovery following gastrointestinal (GI) surgery. Traditionally, postoperative feeding has been delayed due to concerns about complications such as illus and anastomotic failure. This study aims to evaluate the safety and outcomes of implementing EEN after GI surgery, investigating its impact on recovery, complications, and length of hospitalization. Methods: This randomized controlled study was conducted at Hi - Tech Medical College and Hospital, Bhubaneswar, Odisha, from February 2023 to January 2025. Participants included patients from emergency and elective surgical wards who underwent gastric, small bowel, large bowel, or uncomplicated biliary - enteric anastomosis. Patients receiving feeding proximal to the anastomotic site within 24 hours post - surgery, either orally or via a nasogastric tube, were included. Informed consent was obtained from all participants. Detailed data, including demographics, clinical presentation, commodities, operative findings, nutritional assessments, postoperative complications, recovery outcomes, previous treatments or surgeries, and routine blood and radiological test results, were systematically recorded in a standardized proforma. Results: This study reported notably lower complication rates during recovery, with anastomotic leaks at 13.33%, and surgical site infections at 26.67%. Furthermore, patients had a decreased length of hospital stay, aligning with existing literature and highlighting the safety and benefits of early enteral nutrition after gastrointestinal surgery. Conclusion: This study supports the safety and benefits of early enteral feeding after gastrointestinal anastomosis. Early feeding promotes faster bowel function recovery, improved nutritional status, and shorter hospital stays without increasing the risk of anastomotic leaks or infections. Key findings include quicker return of peristaltic sounds and comparable rates of urinary, respiratory, and wound infections between early - fed and traditionally - fed groups. Gastrointestinal complications and re - exploration rates were also similar. These results suggest early feeding can be safely implemented in clinical practice, though larger, multicenter studies are needed for further validation.
Keywords: Gastrointestinal Surgery, Early Enteral Nutrition, Nutrition
Edition: Volume 14 Issue 2, February 2025
Pages: 307 - 310
DOI: https://www.doi.org/10.21275/SR25204195937
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