Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The aim of the present study was to evaluate how different parameters in the preoperative, preoperative and postoperative period affect time to full enthral feeding (TFEF) in children undergoing pyloromyotomy. All children received treatment at a specialized center for paediatric surgery. Eligibility for inclusion was based on patients who had a diagnosis code of Q 40.0 in the International Classification of Diseases 10th Revision and underwent pyloromyotomy within a one‐year period. A group of 50 children underwent diagnosis and surgery for infantile hypertrophic pyloric stenosis (IHPS). The cohort analyzed in this study comprised mostly male infants, with an average corrected age of 37 days and an average weight of 3932 g. A small percentage of the infants were born prematurely and a few had a serious underlying illness. The average duration of symptoms was 4 days, with a range of 7 days. A significant majority of patients, 72%, reported experiencing weight loss. Additionally, 6 patients, 12%, showed an increase in bilirubin levels. The average time to reach TFEF for the entire group was 48±32 hrs, while the average duration of hospitalization after surgery was 66±44 hrs. A large proportion of children (88%) followed a structured feeding routine. No child needed intravenous nutrition. Two children experienced postoperative complications, with one of them needing to undergo another operation. During the univariate analysis, certain factors were observed to have an impact on TFEF. These factors included age, weight, the presence of severe underlying disease, elevated bilirubin levels and the duration of symptoms. After conducting a thorough analysis, it was found that only age and the presence of a severe underlying disease had a significant impact on TFEF. The TFEF showed a decrease as individuals grew older, while it exhibited an increase in children who had a serious underlying illness. There is no evidence to suggest that symptoms such as duration of emesis, weight change, electrolyte abnormalities have any impact on TFEF. Enhancing parental knowledge regarding factors that impact the time to full feeds and length of postoperative hospital stay can lead to improved information.
How to cite this article:
Ashutosh Kumar and Manish . Study to Evaluate how Different Parameters Affect Time to Full Enteral Feeding (TFEF) in Children Undergoing Pyloromyotomy.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.3.172.176
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.3.172.176