Does early enteral feeding delay the gastric emptying?- A prospective randomized controlled trial in post gastrojejunostomy patients

Authors

  • Prasad K Assistant Professor, Department of General Surgery, Subbaih Institute of Medical Sciences Shivamogga, Karnataka, India
  • Yoganand Mahadev Dadge Assistant Professor, Department of Surgery, MIMSR Medical College, Latur, Maharashtra, India
  • Nivedita Assistant Professor, Department of ENT, Chamarajnagara Institute of Medical Science, Chamarajnagara, Karnataka, India

Keywords:

Gastric emptying, Gastrojejunostomy,Enteral feeding

Abstract

Introduction: Postoperative early enteral feeding has become a very common application in the present day surgical practice. Enteral nutrition has been found to increase the blood supply to the intestines, increase the gut secretions like hormones, various peptides and enzymes, which increases the gut motility and thereby enhances gastric emptying. Materials & Methods: This is prospective and observational study conducted at Tertiary care teaching hospital and research center over a period of 18monthswere included in the study. Patients included in the study were those who underwent gastric bypass (Gastrojejunostomy) for gastric outlet obstruction either due to benign or malignant condition. Results: Total of 138 patients entered into the study, out of which 94 were excluded. The age of the patients ranged from 14 to 74 years with a mean (±SD) of 47.71(16.729) years in Early Feeding (EF) group and 44.95 (16.694) in No early Feeding (NEF) group. 15 patients were men and 9 were women in EF and 15 patients were men and 5 were women in NEF group. The NasoGastric tube was inserted for an average of 6.04 days in the Enteral feeding group and an average of 6.40 days in the No Enteral feeding group. Conclusion: Present study concludes that post operative enteral nutrition has no impact on DGE after gastric bypass and Ileal brake mechanism might not be clinically relevant. Most of patients who had enteral nutrition gained weight as compared to no Enteral feeding group.

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Published

2021-10-20

How to Cite

Prasad K, Yoganand Mahadev Dadge, & Nivedita. (2021). Does early enteral feeding delay the gastric emptying?- A prospective randomized controlled trial in post gastrojejunostomy patients. International Journal of Health and Clinical Research, 4(18), 35–38. Retrieved from https://ijhcr.com/index.php/ijhcr/article/view/2890