caa a22 4500 606247084 CHVBK 20210128101343.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-013-0971-8 doi (NATIONALLICENCE)springer-10.1007/s12262-013-0971-8 Early Oral Feeding in Pediatric Intestinal Anastomosis [Elektronische Daten] [Mamatha B,, Anand Alladi] A prospective nonrandomized study of 31 children aged <16years over a period of 14months was conducted to evaluate the effects of early oral feeding (EOF) in children with intestinal anastomosis. Patients undergoing elective or emergency intestinal anastomosis below the ligament of Trietz with no contamination were included while contaminated cases and neonatal atresias were excluded. First feed was the direct oral feed started within 24h, usually the morning after surgery. Liquid feeds were started initially and increased at 4hourly increments to appropriate feed for age. Time to full feeds was recorded. Patients were monitored for vomiting, abdominal distension, and signs of leak. Time to first stool and length of hospital stay were recorded. Median age of patient was 12months. Mean time to first feed was 16h, and mean time to full feeds was 36h. Four of the 31 patients had delayed tolerance to feed, either due to vomiting or distension, which was transient and resolved spontaneously in three patients and due to prolonged ileus in the fourth patient. None of the patients had leaks. Most of the patients were discharged by postoperative day 3 (83%). Early enteral feeding in pediatric intestinal anastomosis can be safely started without looking for traditional markers of return of bowel activity. It lowers hospital stay with no adverse effects. Generalization of this concept to selected emergency and neonatal surgeries can be considered, but needs further randomized control trial to validate. Association of Surgeons of India, 2013 Early oral feeds nationallicence Intestinal anastomosis nationallicence Bowel activity nationallicence Mamatha B, Department of Paediatric Surgery, Bangalore Medical College and Research Institute, Fort, 560002, Bangalore, India aut Alladi Anand Department of Paediatric Surgery, Bangalore Medical College and Research Institute, Fort, 560002, Bangalore, India aut Indian Journal of Surgery Springer India 77(2015-12-01), 670-672 0972-2068 77<670 2015 77 12262 https://doi.org/10.1007/s12262-013-0971-8 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-013-0971-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mamatha B Department of Paediatric Surgery, Bangalore Medical College and Research Institute, Fort, 560002, Bangalore, India aut NATIONALLICENCE 700 1- Alladi Anand Department of Paediatric Surgery, Bangalore Medical College and Research Institute, Fort, 560002, Bangalore, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 670-672 0972-2068 77<670 2015 77 12262