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328865

Influence of Postoperative Enteral Nutrition on Postsurgical Infections

Article

Last updated: 05 Jan 2025

Subjects

-

Tags

Applied and Basic Science.

Abstract

Although oral and enteral feeding are options, the latter may cause problems such as pain for the patient, malposition of the tube, aspiration pneumonia, sinusitis, epistaxis, and tube occlusion. The purpose of this research was to determine whether early enteral feeding has any effect on the risk of developing significant problems after major surgery. Two hundred intensive care unit (ICU) patients at Benha University Hospitals were randomly assigned to either group A (early feeding) or group B (late feeding) in this prospective cohort observational research. Albumin, prealbumin, transferrin, ALT, AST, ALP, total bilirubin, urea nitrogen, and creatinine were not significantly different between the two groups, however white blood cell counts were significantly different. We observed that 62% of Group A scored a 3, compared to 61% of Group B; 36% of Group A scored a 4, compared to 36% of Group B; 2% of Group A scored a 4, compared to 3% of Group B; and 0% of Group A scored a 4 compared to 3% of Group B. Hypoglycemia during intervention and ICU stay duration >3 days are significantly different between the two groups. When comparing the two groups, there is a notable difference in terms of the occurrence of a new infection, the peak level of C-reactive protein throughout the ICU stay, and the length of time spent on mechanical ventilation. We conclude that early postoperative enteral feeding decreases the risk of infection complications, perhaps resulting in a shorter duration of stay and less need for intensive care.

DOI

10.21608/bjas.2023.234904.1245

Keywords

Postoperative Enteral Nutrition, Postsurgical Infections, routes of feeding

Authors

First Name

Yousry

Last Name

Rezk

MiddleName

-

Affiliation

Cardiothoracic surgery Dept., Faculty of Medicine, Benha University

Email

yousryel-saied@gmail.com

City

-

Orcid

-

First Name

Basem

Last Name

Aglan

MiddleName

-

Affiliation

Cardiothoracic surgery Dept., Faculty of Medicine, Benha University

Email

basemmofreh@gmail.com

City

-

Orcid

-

First Name

Eslam

Last Name

shaboob

MiddleName

-

Affiliation

Anaesthesiology, Intensive Care and Pain Management Dept., Faculty of Medicine, Benha University

Email

eslamaly@gmail.com

City

-

Orcid

-

First Name

Mostafa

Last Name

Mostafa

MiddleName

-

Affiliation

Cardiothoracic surgery Dept., Faculty of Medicine, Benha University

Email

mostafa.abd20394@gmail.com

City

-

Orcid

-

Volume

8

Article Issue

9

Related Issue

44633

Issue Date

2023-09-01

Receive Date

2023-09-03

Publish Date

2023-09-26

Page Start

71

Page End

77

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_328865.html

Detail API

https://bjas.journals.ekb.eg/service?article_code=328865

Order

10

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Influence of Postoperative Enteral Nutrition on Postsurgical Infections

Details

Type

Article

Created At

28 Dec 2024