Comparison of Early and Delayed Feeding After Elective Gut Anastomosis

Ghazanfar Jabbar, Mirza Sijeel Ahmad, Arslan Sharif Malik, Shahzad Akhtar, Farooq Sultan Minhas, Muhammad Talha Makshoof, Zoha Shahid


Objective: To compare the effects of early and delayed feeding after elective gut anastomosis in relation to a mean number of days of audible bowel sounds.
Study Design: A cross-sectional study.
Place and Duration of Study: The study was conducted at the Department of Surgery, Combined Military Hospital (CMH), Rawalpindi, Pakistan, from 11th May 2019 to 10th November 2019.
Methods: A total of 60 individuals undergoing gut anastomosis were divided into two groups. In group A, the NG tube was removed within 6 to 24 hours of surgery, and clear oral liquids (30ml/hour) were started. Oral fluids, including juices and soups on the other day after surgery, tailed by semisolid food at 3rd day, then regular food at 4th day and finally discharge at the 5th day. In group B, the NG tube was detached three to five days after the procedure, observing NG tube output <30-50cc daily. Then, patients were followed up in post-surgical wards for 48 hours. Patients were noted and informed of the time when bowel sounds were audible, the first flatus passed, and the first stool passed.
Results: The mean age in group A was 40.23 ± 15.66 years, and in group B was 37.93 ± 15.23 years. Most of the patients, 31 (51.67%), were between 16 to 30 years of age. Out of 60 patients, 36 (60.0%) were males and 24 (40.0%) were females, with male to female ratio of 1.5:1. The mean number of days of audible bowel sounds in Group A (early feeding) was 1.57 ± 0.63 days while in Group B (delayed feeding) was 3.90 ± 0.76 days (p-value = 0.0001).
Conclusion: This research established that the outcome of early feeding is better than the outcome of delayed feeding after elective gut anastomosis.

Keywords:  Audible Bowel Sounds, Early and Delayed Feeding, Elective Gut Anastomosis

How to cite this: Jabbar G, Ahmed MS, Malik AS, Akhtar S, Minhas FS, Makshoof MT, Shahid Z. Comparison of Early and Delayed Feeding After Elective Gut Anastomosis. Life and Science. 2024; 5(1): 101-106. doi:

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