Feeding regimens after pyloromyotomy.
In a prospective randomized study three different feeding regimens after operation were compared in 74 babies with infantile hypertrophic pyloric stenosis: gradual regarding of feeds over 48 h (regimen 1), rapid regarding of feeds over 16 h (regimen 2), and initial starvation followed by full normal feeds at 24 h (regimen 3). No significant difference between the treatment groups was found either in episodes of vomiting after operation (regimen 1, 2.9 episodes in 21 patients; regimen 2, 3.6 episodes in 28 patients; regimen 3, 3.6 episodes in 25 patients) or in the mean duration of postoperative hospital stay (regimen 1, 59.3 h; regimen 2, 47.8 h; regimen 3, 56.7 h). We conclude that vomiting following pyloromyotomy is self-limiting and independent of the timetable or composition of the postoperative dietary regimen.
Wheeler
R A
RA
Wessex Centre for Paediatric Surgery, Southampton General Hospital, UK.
Najmaldin
A S
AS
Stoodley
N
N
Griffiths
D M
DM
Burge
D M
DM
Atwell
J D
JD
D004750:Enteral Nutrition; D005260:Female; D006801:Humans; D006984:Hypertrophy; D007223:Infant; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D011446:Prospective Studies; D011707:Pyloric Stenosis / Q000601:surgery*; D013997:Time Factors; D014839:Vomiting / Q000209:etiology