The Safety and Efficacy of Early Enteral Nutrition After Paediatric Enterostomy Closure - The EPOC Study

jpedsurg.org

Keeping children nil by mouth until return of bowel function after intestinal anastomosis surgery is said to reduce complications. Fasting may extend up to five days, risking malnourishment and usage of parenteral nutrition. This study aims to establish the efficacy and safety of early enteral nutrition in children undergoing intestinal stoma closure.

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Article · Nov 2023 · 1 min read

In brief

This study challenges traditional nil-by-mouth protocols after pediatric stoma closure surgery by investigating whether early enteral feeding is safe and effective. Current practice often requires 5-day fasting periods that risk malnutrition and necessitate parenteral nutrition.

Traditional nil-by-mouth protocols after pediatric enterostomy closure can extend up to 5 days, increasing malnutrition risk.
Prolonged postoperative fasting may necessitate parenteral nutrition with associated complications and costs.
Early enteral feeding after intestinal anastomosis challenges the conventional practice of waiting for bowel function return.
The EPOC study evaluates whether early feeding is safe and effective in pediatric stoma closure patients.
Reducing fasting duration could improve nutritional outcomes without increasing anastomotic complications.

Written by the GCMD Library team from the article.

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