Health Condition 1: K00-K95- Diseases of the digestive system
Conditions
Interventions
Intervention1: Early Enteral Feeding: Early enteral feeding to be started within 12-24 hrs after surgery at the rate of 20-50ml/hr until post opetative day 1, starting with sips of water, ors, orange
Sponsors
ICMR
Eligibility
Inclusion criteria
Inclusion criteria: Procedures involving the gastrointestinal tract, such as elective bowel resections, colonic or small bowel surgeries, anastomoses (Hand suture/ Stapler) Adults more than 18 years of age undergoing elective small and large bowel surgeries. Patient capable of receiving enteral nutrition. Patients with controlled co-morbidities like DM and HTN.
Exclusion criteria
Exclusion criteria: Patients with contraindications to enteral feeding for example, pre-existing malabsorption syndrome. Patients with serious comorbidities such as severe cardiac anomalies, liver cirrhosis, ascites, CKD, patient unfit for surgery. Patients requiring immediate postoperative parenteral nutrition and patients on TPN. Severe gastrointestinal contamination for example significant intra operative peritoneal soiling Known case of Cancer metastasis, active TB and history of radiation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Early enteral feeding aims to maintain gut integrity, reduce inflammation, and prevent complications like ileus. Delayed enteral feeding may be considered to mitigate potential risks, balancing the benefits of early nutrition with individual patient factors and surgical considerations. The rationale involves optimising recovery while minimising postoperative complications.Timepoint: 15 - 30 days | — |
Secondary
| Measure | Time frame |
|---|---|
| Standard enteral feeding is better than early enteral feeding, & has better postoperative outcome.Timepoint: 15-30 days | — |
Countries
India
Contacts
Public ContactDr Yashasvi Trivedi
Datta Meghe Institute of Higher Education and Research
Outcome results
None listed