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Small bowel function after aortic surgery.

S G Barker1, R D Dodds, A Middlemiss

  • 1Department of Surgery, St. Peter's Hospital, Chertsey, Surrey, UK.

Postgraduate Medical Journal
|August 1, 1991
PubMed
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Post-operative ileus, a complication of abdominal aortic aneurysm repair, was studied in 20 patients. Small bowel function remained intact, supporting early enteral feeding via naso-duodenal tube.

Area of Science:

  • Gastroenterology
  • Surgical Outcomes

Background:

  • Paralytic or adynamic ileus is a common post-operative complication following elective abdominal aortic aneurysm repair.
  • This condition can lead to significant patient morbidity and prolonged hospital stays.

Purpose of the Study:

  • To assess the maintenance of small bowel motility and absorptive capacity in the immediate post-operative period after elective abdominal aortic aneurysm repair.
  • To evaluate the feasibility of early enteral nutrition in patients undergoing this procedure.

Main Methods:

  • A series of 20 consecutive patients undergoing elective abdominal aortic aneurysm repair were studied.
  • Small bowel function was assessed using barium sulfate and xylose administered via a naso-duodenal tube placed during surgery.

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Main Results:

  • Small bowel function, including motility and absorptive capacity, was preserved in all 20 patients.
  • The study demonstrated the viability of maintaining gastrointestinal function post-operatively.

Conclusions:

  • Enteral nutrition via a naso-duodenal tube is a viable option for patients experiencing post-operative ileus after abdominal aortic aneurysm repair.
  • Early enteral feeding, particularly with low-residue formulas, can be a cost-effective alternative to parenteral nutrition.