Objectives: To assess the safety and effectiveness of early enteral feeding after gastrostomy to the clinical, blood pre-albumin index. Subjects and methods: An interventional, control and comparative study on 115 patients who were indicated gastrostomy from May 2011 to November 2013 at Abdominal Surgery Department, 103 Military Hospital. | Journal of military pharmaco-medicine n08-2017 ASSESSING THE EFFECTIVENESS OF FEEDING THE GUT EARLY AFTER STOMACH SURGERY Truong Thi Thu*; Nguyen Thanh Cho** Hoang Manh An**; Dang Viet Dung** SUMMARY Objectives: To assess the safety and effectiveness of early enteral feeding after gastrostomy to the clinical, blood pre-albumin index. Subjects and methods: An interventional, control and comparative study on 115 patients who were indicated gastrostomy from May 2011 to November 2013 at Abdominal Surgery Department, 103 Military Hospital. The patients were divided into 2 groups: 58 patients in early enteral nutrition group (EEN) were started with Ensure formula within 24 - 48 hours after surgery, 57 patients in control group (late enteral nutrition: LEN) were fed as routine regimen of the hospital. Results: 112 patients participated in the study, 3 patients stopped the treatment. There were significant differences both EEN groups and LEN ones (p . Conclusion: The results showed that early enteral feeding after stomach surgery was safe and feasible. It helped patients recover sooner, reduce complications and the number of days in the hospital as well as improve pre-albumin index. * Keywords: Early enteral feeding; Stomach surgery. INTRODUCTION For many decades, a “nil-by-mouth” policy has been commonly applied as a surgical dogma after gastrointestinal procedures. The long-held belief that nutritional interventions should be done until bowel function recovery [3, 4]. The intestinal postoperative feeding in patients with gastrointestinal surgery was safe and patients were well-tolerated even when started within 12 hours after surgery, which that benefits the patient [3]. It has been an important issue for clinicians to choose a proper nutrition therapy, which helps the patient recover quickly after the gastric surgery. Early enteral nutrition (EEN) can improve the body nutrition and the mesenteric blood flow, maintain the mesentery permeability, repair and .
