Related Experiment Videos

Early feeding in pediatric patients following stoma closure in a resource limited environment

Partap S Yadav1, S Roy Choudhury, Jitendra Kumar Grover

  • 1Kalawati Saran Children's Hospital, Lady Hardinge Medical College, New Delhi 110001, India.

Journal of Pediatric Surgery
|May 25, 2013
PubMed

Insights

Early enteral nutrition after pediatric intestinal surgery significantly reduces hospital stay and complications. This approach is well-tolerated and beneficial, especially in resource-limited settings.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Clinical Nutrition

Background:

  • Establishing enteral nutrition is crucial post-intestinal surgery, particularly in resource-strained settings.
  • This study investigates early feeding protocols in pediatric patients undergoing stoma closure in a middle-income country.

Purpose of the Study:

  • To evaluate the impact of early enteral feeding on recovery and outcomes in pediatric patients after stoma closure.
  • To compare a protocol-driven early feeding approach with standard care in a resource-limited environment.

Main Methods:

  • Prospective enrollment of pediatric patients into an early feeding group (Group 1) or a historical control group (Group 2).
  • Group 1 initiated enteral feeds 24 hours post-operation with a structured increase protocol.
  • Group 2 received standard care without a specific early feeding protocol.

Main Results:

  • Early feeding (Group 1) significantly reduced the time to first sustained feed (28.5h vs. 153.8h) and time to full feeds (62.3h vs. 196.0h) compared to standard care (Group 2).
  • Mean hospital stay was shorter in the early feeding group (7.2 days vs. 9.4 days).
  • A reduction in postoperative fever and wound infections was observed in the early feeding group (p<0.05).

Conclusions:

  • Early enteral feeding is well-tolerated in pediatric patients following elective bowel anastomosis.
  • Implementing early enteral feeding protocols can lead to shorter hospital stays and fewer postoperative complications.
  • This feeding strategy is effective and beneficial in resource-limited settings.
Abstract

Related Concept Videos

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

Enteral Nutrition I: Orogastric and Nasogastric Feeding

Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Ostomy Care01:24

Ostomy Care

Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD: