EARLY VS DELAYED ENTERAL FEEDING IN CASES OF DUODENAL PERFORATION : AN OBSERVATIONAL STUDY.

Rathin Sarkar; Arunima Ekka

Volume : VII, Issue : IV, April - 2018

EARLY VS DELAYED ENTERAL FEEDING IN CASES OF DUODENAL PERFORATION : AN OBSERVATIONAL STUDY.

Rathin Sarkar, Arunima Ekka

Abstract :

This study was done to assess the feasibility of early feeding in patients undergone emergency duodenal perforation repair. An observational study was done in 80 patients who underwent duodenal perforation repair from march 2015 to march 2016. Patients with severe shock and co–morbid conditions like uncontrolled Diabetes Mellitus, Hypertension, Chronic Obstructive pulmonary Disease, malignancy. Patients were divided into early and late enteral feeding group. In early feeding group feeding started within 48 hrs after surgery. The outcomes of the early and the late feeding groups were compared. Pulmonary complications ( 7.5% vs 32.5%, p–0.005 ), wound infections ( 25% vs 45%, p–0.04 ), burst abdomen ( 5% vs 22.3%, p–0.023 ) were found to be significant and more commonly seen in late feeding group than early feeding group. Length of the hospital stay after duodenal perforation repair were significantly greater ( 8.63 days vs 11.45%, p–0.03 ) in late feeding group.Early enteral feeding after duodenal perforation repair may be feasible in patients without shock or other co–morbid condition.