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Early Versus Delayed Oral Feeding in Emergency Gastrointestinal Surgeries
O O Akanbi1, A S Oguntola1, M L Adeoti1
1Surgery Department, Ladoke Akintola University of Technology, Ogbomoso, Oyo State Email: drsolaakanbi@yahoo.com; +2348039540925.
West African Journal of Medicine
|September 28, 2024
Summary
Early oral feeding after emergency gastrointestinal surgery is not recommended. This approach led to higher intolerance, more nasogastric tube re-insertions, and longer hospital stays compared to delayed feeding.
Area of Science:
- Gastroenterology
- Surgical Outcomes
- Patient Recovery
Background:
- Early postoperative oral feeding benefits elective bowel surgery patients.
- Data on early feeding after emergency gastrointestinal surgery is limited and inconclusive.
Purpose of the Study:
- To compare the safety and outcomes of early versus delayed oral feeding after emergency gastrointestinal surgery.
- To evaluate the impact on postoperative complications and hospital stay.
Main Methods:
- Sixty patients undergoing emergency gastrointestinal surgery were randomized into early feeding (POD 1) or delayed feeding (after bowel function return) groups.
- Key endpoints included nasogastric tube re-insertion and length of hospital stay.
Main Results:
- Early feeding had a significantly higher failure rate (56.7%) compared to delayed feeding (26.7%).
- Patients in the early feeding group required more nasogastric tube re-insertions (76.5% vs 25%) and had a longer hospital stay (9 days vs 6.5 days).
Conclusions:
- Early postoperative oral feeding in emergency gastrointestinal surgery is associated with a high failure rate.
- This approach increases the risk of complications and prolongs hospital stay, suggesting delayed feeding is preferable.
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