DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20181535

Pre-operative nutritional status affects enteral feeding in post-operative period among pediatric laparotomy cases

Santosh Kumar Singh, Nitika Agrawal, Kunal Das, Aisha Naaz

Abstract


Background: Early introduction of enteral feed in postoperative settings, although advocated, is not practiced universally. This study reviews post-operative feeding practices amongst pediatric surgery cases and variables affecting it.

Methods: A retrospective analysis was done for children operated for abdominal conditions during 2013-2015. Data were analyzed for pre-operative variables, operative indications and procedure, post-operative events and feeding practices.

Results: Seventy children underwent laparotomy during study period. Median time of starting enteral nutrition was 3rd post-operative day and full feed attainment was day 6. Severely thin/malnourished children could be started on enteral feed on 3.89+1.76 days while normal nourished children were started on 2.2+0.87 days (p<0.05). Eleven cases noted interruption of feed, regurgitation was the commonest cause. Cases of abdominal Koch’s and cases requiring gut incision showed delay in feed onset.

Conclusions: Post-operative onset of enteral feed and tolerance depends on pre-surgery nourishment status, baseline disease condition and type of surgery.


Keywords


Abdominal surgery, Feeding, Malnourished, Post-operative nutrition

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References


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