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Early Feeding after Colorectal Surgery in Children: Is it Safe?

Arindam Ghosh1, Somak Krishna Biswas1, Kalyani Saha Basu1

  • 1Department of Pediatric Surgery, N R S Medical College, Kolkata, West Bengal, India.

Journal of Indian Association of Pediatric Surgeons
|December 21, 2020
PubMed

Insights

Early feeding after pediatric colorectal surgery significantly shortens hospital stays. This approach is safe and effective, aligning with fast-track surgical principles for children.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Clinical Nutrition

Background:

  • Elective colorectal surgery in children often involves traditional postoperative feeding protocols.
  • The impact of early versus traditional feeding on outcomes after colostomy closure requires further investigation.

Purpose of the Study:

  • To evaluate the role and outcomes of early postoperative feeding after elective colorectal surgery in pediatric patients.
  • To compare the effects of early feeding initiation versus traditional feeding on hospital stay and complications.

Main Methods:

  • A randomized controlled trial involving 147 pediatric patients undergoing colostomy closure.
  • Patients were divided into two groups: early feeding (postoperative day 1) and traditional feeding.
  • Postoperative hospital stay and complication rates were the primary outcome measures.

Main Results:

  • Early feeding was initiated in 45 patients, while 102 received traditional feeding.
  • Average postoperative hospital stay was significantly shorter in the early feeding group (5.62 days) compared to the traditional group (8.1 days).
  • Superficial surgical site infections and minor fecal fistulae occurred less frequently in the early feeding group.

Conclusions:

  • Early feeding initiation after elective colorectal surgery in children is safe and effective.
  • This practice leads to a significant reduction in postoperative hospital stay.
  • Early feeding represents a beneficial advancement in fast-track surgery for pediatric patients.
Abstract

Keywords:
Colostomy closurecomplications after colorectal surgerynasogastric tubepostoperative feeding

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