الفهرس 
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Abstract
This study included forty patients admitted to the surgical emergency department at the Main University hospital, University of Alexandria, undergoing emergency intestinal resection anastomosis to evaluate the outcome of early oral feeding which is an integral part of fast track rehabilitation program versus delayed oral feeding in emergency cases undergoing small or large intestinal resection anastomosis. The patients were randomly allocated by the closed envelop technique after completion of surgery into 2 groups:
Group (A): consisted of twenty patients followed early post operative oral feeding protocol with oral fluids started in post operative day one and solid food in post operative day two without waiting for signs of intestinal function.
Group (B): consisted of twenty patients followed post operative TPN for five days as control group.
In group (A) there were 11 (55%) male and 9 (45%) females with a mean age of
45.15±15.37, while in group (B) there were 10 (50%) male and 10 (50%) females with a
mean age of 42.01±12.36. All patients were subjected to preoperative physical and ■-’;
nutritional assessment and post operative assessment for nutritional status, tolerance of
early oral feeding in the early fed group, early post operative complications and hospital
stay. The two groups were matched as regard age, sex, indication of surgery and surgical
procedures performed. -tf
The study revealed that early post operative feeding after emergency resection anastomosis was tolerated in 80% of patients but no patients needed NGT reinsertion. Also there was no affection of the nutritional status. Also the study revealed that early oral feeding is safe in the recently performed anastomosis even in emergency situations as there were no cases of clinical anastomotic leak and no increase in morbidity. Chest infection occurred in two cases (10%) in group (A), while in group (B) it occurred in five cases (25%). Wound infection occurred in three cases (15%) in group (A), while in group (B) it encountered in seven cases (35%). Burst abdomen occurred in three cases in group (B), while in group (A) no case of burst abdomen occurred, with no statistical significant difference between the two groups due to small sample size.
The study revealed significant decrease in post operative hospital stay in the early fed group with a median of 5 days in group (A), while in group (B) the median post operative hospital stay was 9 days.
from this study we conclude that:
1- Early post operative feeding is safe and tolerable after emergency intestinal resection anastomosis.
2- With early post operative feeding there is no increase in post operative morbidity and mortality.
3- The main achievement of early post operative feeding is the considerable reduction in hospital stay with its physical, psychological and economic benefits.