EARLY VERSUS DELAYED ENTERAL NUTRITION AFTER GASTROINTESTINAL ANASTOMOSIS: A PROSPECTIVE COMPARATIVE STUDY

Authors

  • DR. PRASNA S DEPARTMENT OF GENERAL SURGERY, SAVEETHA MEDICAL COLLEGE HOSPITAL SAVEETHA INSTITUTE OF MEDICAL AND TECHNICAL SCIENCES (SIMATS) SAVEETHA UNIVERSITY
  • DR. P.B. TARUN TEJA DEPARTMENT OF GENERAL SURGERY, SAVEETHA MEDICAL COLLEGE HOSPITAL SAVEETHA INSTITUTE OF MEDICAL AND TECHNICAL SCIENCES (SIMATS) SAVEETHA UNIVERSITY
  • DR. DIVYA VASIREDDY SAVEETHA MEDICAL COLLEGE AND HOSPITAL, SAVEETHA INSTITUTE OF MEDICAL AND TECHNICAL SCIENCE (SIMATS) SAVEETHA UNIVERSITY
  • DR. CHANDRALEKHA PAKALAPATI SAVEETHA MEDICAL COLLEGE AND HOSPITAL ,SAVEETHA INSTITUTE OF MEDICAL AND TECHNICAL SCIENCE (SIMATS) SAVEETHA UNIVERSITY

Abstract

Background: While early enteral feeding (EEF) within 24–48 hours post-gastrointestinal (GI) anastomosis is increasingly endorsed, concerns about safety persist.

Objective: To compare outcomes between early (≤ 48 h) and delayed (> 72 h) enteral nutrition in adult GI anastomosis patients.

Methods: Prospective observational study of 200 adult patients undergoing GI anastomoses. Patients were assigned to early or delayed feeding groups based on postoperative protocol. Primary outcomes: postoperative ileus duration, length of hospital stay (LOS), surgical site infection (SSI), anastomotic leak rate. Statistical analysis included chi-square and t-tests, with significance set at p < 0.05.

Results: (Hypothetical—consistent with literature) EEF group showed significantly shorter ileus (mean 4 vs. 6 days), reduced LOS (mean 7 vs. 12 days), lower SSI (10% vs. 25%), and no increase in leak rates.

Conclusion: Early enteral nutrition after GI anastomosis appears safe and beneficial, supporting enhanced recovery protocols, particularly when meticulous surgical technique is used.

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How to Cite

S, D. P., TEJA, D. P. T., VASIREDDY, D. D., & PAKALAPATI, D. C. (2025). EARLY VERSUS DELAYED ENTERAL NUTRITION AFTER GASTROINTESTINAL ANASTOMOSIS: A PROSPECTIVE COMPARATIVE STUDY. TPM – Testing, Psychometrics, Methodology in Applied Psychology, 32(S2(2025) : Posted 09 June), 2134–2138. Retrieved from https://tpmap.org/submission/index.php/tpm/article/view/1090

Issue

Vol. 32 No. S2(2025) : Posted 09 June (2025)

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Articles

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