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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 2 No. 1 (2011)

Study of the Effect of Early Feeding after Gut Resection and Primary Anastomosis: A Prospective Randomised Trial

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : January 2011
CONTENTSVolume 02Number 1January 2011
Editorial
Choledochochal Cyst
Md Mahbub-ul-Alam
03
Original Articles
Study of the Effect of Early Feeding after Gut Resection and Primary Anastomosis: A Prospective Randomised Trial
MN Zaman, MMM Pervez, MAB Akan, AM Shahinoor, M Anisuzzaman, MN Islam
07
Breast Diseases in Children and Adolescents - A Two Year Experience in a Private Hospital of Dhaka
S Islam, AKMA Morshed, SA Ali
12
Histological Analysis of Vascular and Collagen Tissues in the Ventral and Corresponding Dorsal Skin of Mid-Penile Hypospadiac Penis at the Meatal and Coronal Levels: A Comparative Study
MAB Akan, MR Amin, MMR Sibli, AM Shahinoor, M Anisuzzaman, MN Islam, MN Zaman
17
Outcome of External and Internal Drainage of Urine after Anderson Hynes Pyeloplasty - A Comparative Study
AM Shahinoor, MMR Shibli, MAB Akan, M Anisuzzaman, MN Islam, MN Zaman, MTH Siddiqui
22
Short Term Outcome of Urethroplasty for Distal Hypospadias with Interrupted Suture Compared to continuous Suture
MMR Shibli, S Hoque, AM Shahinoor, MAB Akan, S Zabeen
26
To Evaluate the Role of Vascularised Dorsal Dartos Flap in Snodgrass Urethroplasty
M Anisuzzaman, MAB Akan, R Ara, MM Hasan, MN Zaman, MR Amin
31
Miscellaneous
Instructions to Contributors
The Editor
00
Case Reports
Fetus in Fetu: A Case Report & Review of Literatures
MAM Rahman, AA Farooq, MAH Bhuiyan, TK Chowdhury, HMA Rouf
36
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • MN ZamanMedical Officer, OSD, DGHS, Mohakhali, Dhaka
  • MMM PervezMedical officer, Urology, BIRDEM, Dhaka
  • MAB AkanMedical Officer, Upozila Health Complex, Swarupkhathi, Pirojpur
  • AM ShahinoorMedical Officer, Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University
  • M AnisuzzamanRegistrar, Department of Surgery, Holy Family Red Crescent Hospital, Dhaka
  • MN IslamMedical Officer, Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University

Keywords

Early enteral feeding post operative day traditional feeding

Abstract

The traditional practice of post operative starvation after gut resection and primary anastomosis has been recently challenged. Contrary to wide spread opinion, evidence from clinical studies suggest that initiating feeding early is advantageous in postoperative patients. Various clinical trials have shown that early enteral feeding helps in the reduction of post operative ileus, anxiety and hospital stay. The purpose of this study was to compare the effects of early and traditional feeding, and was conducted among patients who underwent gut resection and primary end to end anastomosis. The study population (n=50) was divided into two arms. Arm-A (n=25) was given feeding after passage of flatus, stool when bowel sound was present, usually within second to fourth post operative day. Arm-B (n=25) was given early enteral feeding, started within 16-24 hours, in the first Post operative day (POD) after removal of the naso gastric tube. There were no statistically significant variations in age, sex, bodyweight, average hemoglobin level, antibiotics, and suture materials used in both arms. Post operative hospital stay was 9.09 days in Arm-A and 5.42 days in Arm-B. It was significantly low (P < 0.05) in Arm-B. The complications after operation were also low in Arm-B. Early enteral feeding can help to decrease the negative impact of the metabolic response to injury. It also stimulates restoration of the barrier functions of the intestine, improve the return of the functions and reduce the duration of post operative ileus and hence reduce the risk of serious complications.

Journal of Paediatric Surgeons of Bangladesh (2011) Vol. 2 (1): 7–11

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