Early Enteral feeding within 24 hours of gastrointestinal surgery versus Nil by mouth: A prospective study

Abstract

A prospective study on early enteral feeding v/s Nil by mouth was done on 74 patients in two groups. The study mainly focused on incidence of surgical site infection, post-operative complications, such as pulmonary complications, anastomotic leakage, abdominal distension, vomiting, and cost of treatment in both groups. It was observed that maximum patients in our study were in the age group of 31-40 years with male preponderance having an average of 12 gm % hemoglobin levels and average BMI of 23, which were divided in two groups. In our study, early enteral feeding has less incidence of surgical site infection with most infection by Klebsiella pneumonia in both groups, clinically less complications and less cost incurred. The incidence of vomiting was increased in early enteral fed group but did not lead to cessation of feeding. Early mobilization of patient and early establishment of bowel sounds are the other factors noticed in patients of early enteral fed groups in our study. Cost of treatment is emphasized in our study. Myth of patients keeping nil by mouth after surgery is to be discouraged. Early enteral feeding enhances recovery and can be safely given after all major gastrointestinal surgeries.

Keywords

• Complication
• cost
• enteral feeding
• nil by mouth
• surgical site infection