Early Recovery after Small Bowel Surgery

Ahmed, Hussain Gadelkarim

doi:10.15406/mojs.2017.04.00057

Cited by 2 publications

(3 citation statements)

References 13 publications

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“…Early oral feeding after perforated duodenal ulcer repair did not result in the repair site leak in any patients. A previous study reported that primary small bowel anastomosis in emergency cases also showed encouraging results if patients are properly selected and operated upon by experienced surgeons [9].…”

Section: Discussionmentioning

confidence: 95%

“…Traditional postoperative care has been practised for many years in elective and emergency abdominal surgeries with protocols that allow oral feeding after three to five days following perforated duodenal ulcer repair or gut anastomosis. This protocol allows the repair site to heal and normal gut peristalsis to resume, so repair site leak chances are minimized [9]. Part of the reason why this approach has been so broadly adopted is that repair site leak is a surgeon's nightmare.…”

Section: Discussionmentioning

confidence: 99%

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Early Oral Feeding Compared With Traditional Postoperative Care in Patients Undergoing Emergency Abdominal Surgery for Perforated Duodenal Ulcer

Masood¹,

Viqar²,

Zia³

et al. 2021

Cureus

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Introduction Enhanced recovery after surgery (ERAS) protocols have been widely studied in elective abdominal surgeries with promising outcomes. However, the use of these protocols in emergency abdominal surgeries has not been widely investigated. This study aimed to evaluate ERAS application outcomes via early oral feeding compared to regular postoperative care in patients undergoing perforated duodenal ulcer repairs in emergency abdominal surgeries. Materials and methods We conducted a randomized controlled trial at the Surgical Unit 1 Benazir Bhutto Hospital from August 2018 to December 2019. A total of 42 patients presenting to the emergency department with peritonitis secondary to suspected perforated duodenal ulcer were included in the study. Patients were randomly assigned into two groups. Group A patients followed an ERAS protocol for early oral feeding, and Group B received regular postoperative care (i.e., delayed oral feeding). Our primary outcomes were the length of hospital stay, duodenal repair site leak, the severity of pain (via the visual analog scale), and postoperative ileus duration. Results were analyzed via IBM Statistical Product and Service Solutions (SPSS) Statistics for Windows, Version 20.0 (Armonk, NY: IBM Corp.). and chi-square and independent t-tests were applied. Results Patients who received early oral feeding (Group A) showed a shorter length of hospital stay, lower pain scores, and shorter postoperative ileus duration than patients in the traditional postoperative care group. Also, we noted no duodenal repair site leak in the early oral feeding group. The differences between the two groups were statistically significant (P<0.05). Conclusions Based on our results, ERAS protocols that promote early oral feeding can be applied in patients undergoing emergency abdominal surgery for perforated duodenal repair. Early oral feeding in emergency surgery patients can reduce the patient burden on hospitals. In addition, early oral feeding can promote better outcomes and reduced economic burden for patients. Keywords: Perforated duodenal ulcer, ERAS protocol, randomized controlled trial, duodenal repair site leak, length of hospital stay, VAS score, postoperative ileus.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Early Oral Feeding Compared With Traditional Postoperative Care in Patients Undergoing Emergency Abdominal Surgery for Perforated Duodenal Ulcer

Masood¹,

Viqar²,

Zia³

et al. 2021

Cureus

View full text Add to dashboard Cite

show abstract

“…Postoperative care has been practised for many years with protocols that manadate oral nutrition after three to ve days following perforated duodenal ulcer repair or any gastrointestinal anastomosis [7].…”

Section: Discussionmentioning

confidence: 99%

Early Oral Feeding versus Traditional Delayed Oral Feeding Post-perforated Peptic Ulcer Repair: A Randomized Controlled Trail

Elshwadfy,

tobar,

saqr

et al. 2023

Preprint

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Purpose : the study aim was comparing the benefits of postoperative early versus delayed oral feeding in duodenal ulcer repairs. Materials and methods Thy study was a single-center prospective, randomized, controlled trial from January to September 2023 at the Emergency department. The eligibility of patients with suspected perforated peptic ulcers was evaluated. The patients were divided at random into two groups. the early feeding group patients were permitted to consume an oral diet six hours after surgery. Patients were given a liquid diet after 72 hours in the traditional group. Our primary outcome was hospital stay duration, and our secondary outcomes were recovery parameters and 30-day morbidities. The results were analyzed using version 21 of SPSS. The Results Forty-nine patients were included in the early feeding group, while 51 were in the traditional group. Patients in the early group had significantly earlier bowel sound (18.673 7; p 0.001), bowel motion (30.8 12; p = 0.001), fluid diet (14 7; p 0.001), and solid diet (35 17; p 0.001). LOH was significantly shorter in the early feeding group (3.6 0.6 days; p 0.001( There was a significant decrease in postoperative morbidity, including superficial SSI (p = 0.002), deep SSI (p 0.02), and pulmonary complications (p 0.0001), in the early versus delayed feeding group. However, there was insignificant difference in leak rates (0/49 vs. 1/51) Conclusions Early feeding can be administered safely after duodenal perforation repair. Additionally, it can improve outcomes. The research was recorded at ClinicalTrials.gov Identifier: NCT06042933.

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Early Recovery after Small Bowel Surgery

Cited by 2 publications

References 13 publications

Early Oral Feeding Compared With Traditional Postoperative Care in Patients Undergoing Emergency Abdominal Surgery for Perforated Duodenal Ulcer

Early Oral Feeding Compared With Traditional Postoperative Care in Patients Undergoing Emergency Abdominal Surgery for Perforated Duodenal Ulcer

Early Oral Feeding versus Traditional Delayed Oral Feeding Post-perforated Peptic Ulcer Repair: A Randomized Controlled Trail

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