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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 10 No. 1-2 (2019)

Safety and advantages of early oral feeding after intestinal anastomosis in children: Our experience

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2019
CONTENTSVolume 10Number 1 & 2January - July 2019
Editorial
The risk factors of gall stone formation in children
Md Kabirul Islam
01
Review Articles
Esophageal atresia and tracheoesophageal fistula: A review
Arihant Jain, Nitin James Peters, Shivani Dogra
49
Original Articles
The need for practice enhancements and parental empowerment during their child’s day surgery process: A pilot study
Ahamed Faiz Ali
05
Management of paediatric surgical patients during the COVID-19 pandemic: Our challenges
Mohammed Shadrul Alam, AKM Khairul Basher, Jaglul Gaffer Khan, Muhammed Moinul Huque, Tahmina Hossain, Shahnoor Islam, Samidur Rahman, Kaniz Hasina, Abdul Tablu Hanif, Ashraf Ul Huq
15
Safety and advantages of early oral feeding after intestinal anastomosis in children: Our experience
Refoyez Mahmud, Md Samiul Hasan, Nazmul Islam, Sadia Sultana, Fahim Hasan, Ashrarur Rahman
22
Histopathological study of the fertility components of undescended testes in boys of different age group
Md Mizanur Rahman, A K M Zahid Hossain
26
Comparison between tubularisation of an intact and laterally augmented urethral plate urethroplasty and tubularised incised plate (TIP) urethroplasty for hypospadias repair
Saifuddin Shaheen, Ipsita Biswas, Muhammad Rashedul Alam
32
Result of simple versus layered repair of urethro-cutaneous fistula developing after hypospadias surgery
Amitava Biswas, KM Didarul Islam, Md Ruhul Amin, Agomoni Chaki, AKM Khairul Basher, Md Zamil Hossain
37
Prognostic value of serum lactate dehydrogenase and serum ferritin for abdominal neuroblastoma in children
Dewan Fahmida Akter, Shahnoor Islam
43
Case Reports
Isolated congenital urethrocutaneous fistula: Two case reports
Umme Habiba Dilshad Munmun, A K M Zahid Hossain
62
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Refoyez MahmudResident (Paediatric surgery), Bangladesh Shishu Hospital & Institute, Dhaka
  • Md Samiul HasanAssociate Professor (Paediatric Surgery), Bangladesh Shishu Hospital and Institute
  • Nazmul IslamAssistant Professor (Paediatric Surgery), Bangladesh Shishu Hospital and Institute, Dhaka
  • Sadia SultanaResident (Paediatric Surgery), Bangladesh Shishu Hospital and Institute
  • Fahim HasanResident (Paediatric Surgery), Bangladesh Shishu Hospital and Institute
  • Ashrarur RahmanProfessor (Paediatric and neonatal surgery), Bangladesh Shishu Hospital and Institute, Dhaka.

Keywords

Intestinal anastomosis Early oral feeding Anastomotic complication

Abstract

Background: Restoration of enteral feeding is believed to enhance recovery after surgery, but intestinal anastomosis is a matter of apprehension for surgeons to start enteral feeding early. Before 2022, our standard practice was to wait three to four days to begin oral feeding after intestinal anastomosis. Since 2022, we have allowed oral feeding to start within 24 hours of intestinal anastomosis. This study compares the safety and benefits of early oral feeding after intestinal anastomosis in children. Methods: This retrospective study was done in the neonatal and paediatric surgery department, BSH&I, from January 2021 to December 2022. Children who received early oral feeding in 2022 compared with children who received oral feeding after three days in 2021. Children with duodenal anastomosis and anastomosis with a covering stoma were excluded. Demographic and clinical data were extracted from hospital records using a predefined questionnaire. Data were analyzed in SPSS 26, and a p-value <0.05 was considered significant. Results: One hundred thirty-three children (90 in 2022 and 43 in 2021) underwent intestinal anastomosis. Fiftynine (44.4%) children had small gut anastomosis, 62 (46.6%) children had large gut anastomosis, and 12 (9%) children had ileocolic anastomosis. There was no difference in gender and mean age at the surgery between the two groups. The mean time to start oral feeding was 19.9±0.59 hours in the case group and 79.1±13.9 hours in the control group (p<0.001). The mean time to full oral feeding was 61.05±4.5 hours in the case group and 125.67±25.51 hours in the control group (p<0.001). The mean hospital stay was 4.16±1.18 days in the case group and 7.06±1.96 days in the control group (p<0.001). The two groups had no significant differences in anastomotic and wound complications. Conclusion: Early oral feeding after intestinal anastomosis is safe in children and reduces postoperative hospital stay without any added risk.

Journal of Paediatric Surgeons of Bangladesh (2019) Vol. 10 (1 & 2): 22–25

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