Clinical profile of cases of intestinal anastomosis
Author(s): Dr. MD Shakeel MS and Dr. Varun H Kashyap
Abstract: After intestinal anastomosis, conventional feeding protocol is to keep the patient nil per oral till the patient shows signs and symptoms of gut motility, thereby preventing signs and symptoms of post-operative ileus and to reduce the incidence of anastomotic leak. After major gastrointestinal surgeries, the small intestine (jejunum) will shows normal motility 4 – 8 hrs after surgery. All patients who underwent intestinal anastomosis following surgeries like right hemi colectomy, low anterior resection, limited resection etc., in Navodaya medical college and research hospital from Jan 2018 to Jan 2019 are included in the study. 50 patients who underwent intestinal anastomosis were randomized into two groups. In this study, a total of 50 patients, the mean age in the study group is 43.84, and the mean age in the control group is 46.88, and there is no significant difference between the two groups. Of the 50 patients, 12 were females, 9 were started on early feeds and 3 in control group. 1 patient had anastomotic leak with an incidence of 11.11. 38 were male patients, 16 were started on early feeding and 22 in control group. 1 anastomotic leak noticed in control group with the overall incidence in males of 2.63.