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Effectiveness of Early Feeding versus Conventional Protocol after Stoma Reversal in Adult Surgical Practices

Sajid Ali1,2, Faheem Khan, Saman Hafeez1,2

  • 1Department of General Surgery, DHQ Hospital, Mardan, Pakistan.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|October 16, 2024
PubMed

Insights

Early feeding after stoma reversal significantly reduces postoperative ileus and wound infections. This approach also shortens hospital stays compared to conventional feeding protocols in adult surgical patients.

Area of Science:

  • Surgical Practices
  • Gastroenterology
  • Clinical Research

Background:

  • Stoma reversal is a common surgical procedure.
  • Postoperative feeding protocols can impact patient recovery.
  • Optimizing recovery after stoma reversal is crucial for patient outcomes.

Purpose of the Study:

  • To compare the effectiveness of early feeding versus conventional feeding after stoma reversal.
  • To evaluate the impact of feeding protocols on postoperative complications.
  • To determine the effect on length of hospital stay.

Main Methods:

  • Randomized controlled trial involving 68 adult patients undergoing stoma reversal.
  • Group A received early oral liquid feeds within 24 hours post-surgery.
  • Group B received conventional feeding 72-96 hours post-surgery.

Main Results:

  • Early feeding (Group A) showed significantly lower rates of postoperative ileus (82.35% vs 50%, p=0.004).
  • Wound infection rates were significantly lower in the early feeding group (88.23% vs 61.76%, p=0.001).
  • Length of hospital stay was significantly shorter for early feeding (3.12 days vs 5.62 days, p=0.001).

Conclusions:

  • Early feeding following stoma reversal is an effective strategy in adult surgical patients.
  • This protocol effectively minimizes postoperative complications such as ileus and wound infections.
  • Early feeding leads to a significant reduction in the length of hospital stay.
Abstract

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