OUTCOME OF EARLY INITIATION OF POST-SURGERY FEEDING AFTER COLOSTOMY REVERSAL IN CHILDREN

Authors

  • Muhammad Siddique Department of Pediatrics Surgery, Bahawal Victoria Hospital, Bahawalpur, Pakistan
  • Tariq Iqbal Department of Surgery, Bahawal Victoria Hospital, Bahawalpur, Pakistan
  • Fawad Mueen Arbi Bahawal Victoria Hospital, Bahawalpur
  • Fayaz Ahmad Department of Surgery, Bahawal Victoria Hospital, Bahawalpur, Pakistan
  • Tabinda Yasmin Department of Pathology, Sadiq Abbasi Hospital, Bahawalpur, Pakistan
  • Ammar Bin Saad Department of Pathology, Ayub Medical College, Abbottabad, Pakistan

Keywords:

Colorectal surgery, complications, outcome, oral feeding

Abstract

Background: Children undergoing colostomy reversal surgery often face uncertainties regarding the optimal timing for reintroducing feeding postoperatively. Early initiation of post-surgery feeding is of interest due to its potential to hasten recovery and reduce hospital stay. The impact of early feeding initiation is unclear. Objective of this study was to find out the outcome in terms of hospital stay and post-surgery complications of early initiation of post-surgery feeding after elective colostomy reversal in children. Methods: From 6 Jun 2022 to 10 Oct 2023, a non-randomized controlled trial was conducted at Bahawalpur, analyzing 93 children under 15 years with status colostomy following elective reversal. Patients were allocated to Group-A (traditional oral feeding) or Group-B (early oral feeding) at the surgeon’s discretion, with outcomes including post-surgery hospital stay duration and complications. Results: Out of a total of 93 patients, 49 (52.7%) were boys and 44 (47.3%) girls. Overall, mean age was 4.86±3.27 years. Anastomotic shock was noted among 6 (6.5%) patients while 9 (9.7%) patients had superficial surgical site infection. None of the patients needed repeat surgery for any post-surgery complications. No significant difference in terms of anastomotic leak (p=0.3983), and superficial surgical site infection (p=0.4980) were observed. Significantly shorter duration of post-surgery hospital stay was recorded among patients of Group-B when to compared to Groups-A (6.49±1.14 vs 8.90±1.27, p<0.0001). Conclusion: Early initiation of enteral feeding post elective colostomy reversal in children resulted in significantly reduced duration of post-surgery hospital stay.

Pak J Physiol 2024;20(1):30-2

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References

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Published

31-03-2024

How to Cite

1.
Siddique M, Iqbal T, Arbi FM, Ahmad F, Tabinda Yasmin T, Saad AB. OUTCOME OF EARLY INITIATION OF POST-SURGERY FEEDING AFTER COLOSTOMY REVERSAL IN CHILDREN. Pak J Phsyiol [Internet]. 2024 Mar. 31 [cited 2024 Jun. 17];20(1):30-2. Available from: https://www.pjp.pps.org.pk/index.php/PJP/article/view/1615