EARLY ORAL FEEDING VS TRADITIONAL POST-OPERATIVE CARE IN PATIENTS UNDERGOING EMERGENCY ABDOMINAL SURGERY FOR PERFORATED DUODENAL ULCER(Emergency Abdominal Surgeries)
Phase: NA
Conditions: Perforated Duodenal Ulcer
Sponsor: College of Physicians and Surgeons Pakistan

[Type the document title] 
Effectiveness of Early Oral 
Feeding vs Traditional NPO 
Protocol in Reduction of 
Postoperative Complications 
In Emergency Abdominal 
Surgeries
[Type the document subtitle]
8/10/2018
Dr.Ayesha Masood
Windows User

BACKGROUND: Enhanced recovery after surgery (ERAS) protocols have 
been widely studied in elective abdominal surgeries and have shown 
better outcomes. However the utility of these protocols in emergency 
abdominal surgeries has not been widely investigated. 
OBJECTIVE: To study the outcomes of application of ERAS protocols in 
patients undergoing perforated duodenal ulcers repairs in emergency 
abdominal surgeries.
DESIGN: Randomized Controlled Trial.
PLACE AND DURATION OF STUDY: This randomized controlled trial was
conducted in Surgical Unit 1 BBH from August 2018 to December 2019.
METHODS: Patients presenting to the emergency department with 
peritonitis secondary to suspected perforated duodenal ulcer were 
admitted.Total sample size of the study was 36 patients. Patients were 
randomly divided in two groups. Group A consisted of early oral feeding
group and group B consisted of traditional postoperative care group. 
Outcome results studied were the length of hospital stay, duodenal 
repair site leak, severity of pain (VAS score) and duration of post-
operative ileus. Results were analysed on SPSS version 20 and chi-
square and independent t-test were applied

Statistical Analysis Plan:
All data was entered and analyzed using SPSS (statistical 
package for social sciences) version 20. The categorical 
values like gender and types of surgery were expressed 
as frequency or percentages. The quantitative variables 
like age, post operative pain and length of hospital stay, 
days of return of bowel function were expressed as mean
or standard deviation. Student t test was applied to 
compare hospital stay, days of return of bowel function 
and pain score between two groups. Effect modifiers like 
age and gender along with type of surgery were 
controlled by stratification and post stratification student
t test was applied. P value of<0.05 would be considered 
statistically significant