ABSTRACT

Background: To learn effects of quick feeds on the onset and duration of paralytic ileus after operative procedure on GI tract. To learn the effect of quick enteral feeds on R and A leak following GI tract surgery. To learn the effect of quick enteral feeds on wound sepsis. To learn the effect of resilience on quick enteral feeding. Methods: From august 2020 to august 2021, 150 subjects with variant clusters of diagnosis were taken in the reasearch, randomizing the option to either delayed or quick feeds. Biostat Comparisons were performed. Results: 75 subjects assigned to delayed feeds cluster and 75 subjects to quick feeds cluster. The variability noted between the 2 clusters are not important in terms with biostats. In age disposition group (55.26±19.89 vs 56.06±19.86,1) =0.998), (l) of hospitalisation (19.69±9.33 vs17.73±9.29,p=0.007), mean time of operation was 4hours (p=0.067).78% of subjects was operated under epidural augmenting general anaesthesia (P=0.798), Paralytic ileus is seen in 8(14.2%)subjects in delayed feeds and 4(6.9%) patients in case of quick feeds (p=0.217). R and A leak is seen in 2(3.0%) patient in delayed feeds and 1(1%) patient in case of quick feeds (p=1). Wound sepsis is seen in 8(16.3%) patients in late feeds and 4(11.2%) patients in quick feeds(p=0.499), adverse reactionary response to oral feeds is seen in 5(10.2%) patients in delayed feeds and 8(14.3%) patients in quick feeds(p=0.601). Conclusion: time of hospital stay reduced in quick feeds. Paralytic ileus in both quick and delayed feeds were the same. Wound sepsis was less in quick feeds when compared to delayed feeds. R and A leak was seen quite oftenly in delayed feeds. Patient’s resilience for oral feeds was improved in delayed feeds. This research has not demonstrated any benefit of quick feeds, however it was clearly recorded that delay of enteral feeds was not advantageous Keywords: mode of anaesthesia, paralytic ileus, wound sepsis, leak of R and A
Publication date: 15/02/2022

https://ijbpas.com/pdf/2022/February/MS_IJBPAS_2022_FEB_SPCL_1033.pdf

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https://doi.org/10.31032/IJBPAS/2022/11.2.1033