260588

Early Enteral Feeding Post-Resection Anastomosis without Diversion in Colon Cancer

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Last updated: 03 Jan 2025

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Abstract

Background: Understanding early oral feeding (EOF) benefits among post colon cancer surgery patients is essential, as it allows surgeons to decrease the incidence of dangerous complications. Objective: The aim of the current work was to prove that early enteral feeding is safe with little incidence of complications like fecal fistula. Subjects and Methods: At General Surgery Department, Zagazig University Hospitals, 18 patients underwent urgent and elective colonic cancer surgery. The patients were randomly allocated by the closed envelop technique after completion of surgery into 2 groups: Group (A): consisted of 18 patients who followed early postoperative oral feeding protocol with oral fluids the first day after surgery and progressed to a normal diet within the next 24 to 48 hours, as tolerated with no leakage. Group (B): consisted of the same 18 patients who followed post-operative early oral feeding with anastomosis leakage. Results: early post-operative feeding after colonic resection anastomosis was tolerated in 80.8% of patients. Also, there was no affection for the nutritional status. Also, the study revealed safety of early oral feeding in the recently performed anastomosis even in emergency situations as there was no increase in morbidity. In group research, those who were given solid foods as soon as they were able after surgery had a much shorter hospital stay (median of 4 days)., while among group (B) Complications after surgery led to a 10-day hospital stay as the average length of care. Conclusion: Early post-operative feeding is safe and tolerable after colorectal surgery.   

DOI

10.21608/ejhm.2022.260588

Keywords

Enteral Feeding, Post-Resection Anastomosis, Diversion, Colon cancer

Authors

First Name

Osama Abdullaziz

Last Name

Altih

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First Name

Miftah Abdullah Mohammed

Last Name

Hiyoum

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Email

meftahhaume87@gmail.com

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First Name

Mansour Mohammed

Last Name

Morsy

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Orcid

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First Name

Adel Mahmoud

Last Name

Attia

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Volume

89

Article Issue

1

Related Issue

36332

Issue Date

2022-10-01

Receive Date

2022-09-21

Publish Date

2022-10-01

Page Start

4,729

Page End

4,734

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_260588.html

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https://ejhm.journals.ekb.eg/service?article_code=260588

Order

94

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Early Enteral Feeding Post-Resection Anastomosis without Diversion in Colon Cancer

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Article

Created At

22 Jan 2023