Back to Search
Start Over
Effect of early and delay starting of enteral feeding in post-pancreaticoduodenectomy patients
- Source :
- Annals of Hepato-Biliary-Pancreatic Surgery
- Publication Year :
- 2019
- Publisher :
- Korean Association of Hepato-Biliary-Pancreatic Surgery, 2019.
-
Abstract
- Backgrounds/aims This study was undertaken to see the effect of early starting of enteral feeding after pancreatoduodenectomy (PD). The results were compared with existing nutritional practice in which enteral feeding started, usually after 7 to 8 postoperative day (PODs) in our institute. Methods Thirty patients whome underwent a PD from January 2016 to December 2016 were included in the study. They were divided into two groups, I and II. In group I (n=15), enteral feeding was started from the 2nd POD through the nasojejunal feeding tube along with parenteral partial nutrition support. In group II (n=15), no enteral feeding was given up to seventh and eighth PODs, except the perenteral feeding. Post-operatively, serum albumin levels, total lymphocyte count, total bilirubin levels, serum alkaline phosphate levels were measured for two weeks postoperatively in all the patients for assessing nutritional, immunological and cholestasis status. The mortality, morbidity and lengths of post-operative hospital stay were also recorded. Results Postoperatively, the serum albumin level and lymphocyte count decreased from the pre-operative level on the third POD and it gradually increased from the seventh POD onwards in both groups. However, they remained persistently higher in group I than group II. The total bilirubin and alkaline phosphatase decreased to normal levels within the seventh POD in Group I. However, they remained higher than normal levels on POD 14 in Group II. The morbidity and hospital stay was significantly lower in group I than group II. Conclusions Early enteral feeding should be considered after PD. This is because it will improve nutritional, immunological status and cholestasis. Therefore, it reduces morbidity and shortens the hospital stay.
- Subjects :
- medicine.medical_specialty
biology
Pancreatoduodenectomy
Bilirubin
business.industry
medicine.medical_treatment
Group ii
Enteral feeding
Serum albumin
Pancreaticoduodenectomy
medicine.disease
Early and delay
Enteral administration
Gastroenterology
chemistry.chemical_compound
chemistry
Cholestasis
Internal medicine
Immunological status
medicine
biology.protein
Alkaline phosphatase
General Materials Science
Original Article
business
Subjects
Details
- Language :
- English
- ISSN :
- 25085859 and 25085778
- Volume :
- 23
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Annals of Hepato-Biliary-Pancreatic Surgery
- Accession number :
- edsair.doi.dedup.....f66ec020038ed0fc74fb997162aaf3c1