title: Can Postoperative Nutrition be Favourably Maintained by Oral Diet in Patients with Emergency Temporary Ileostomy? A Tertiary Hospital Based Study.
abstract: BACKGROUND
  Temporary ileostomy is an emergency procedure performed in cases having septic peritonitis in presence of perforation or obstruction or gangrene of small intestine. These patients usually suffer from gross malnutrition following surgery.
  
  
  OBJECTIVE
  To measure nutritional status of patients with emergency temporary ileostomy and to determine whether their postoperative nutrition can be favourably maintained by oral diet alone.
  
  
  METHODS
  Sixty patients were enrolled for the study on the basis of inclusion and exclusion criteria during the study period from January 2012 to December 2013. Oral feeding was started as soon as ileostomy started functioning and patients expressed hunger, about 48-72 hours postoperatively. An individualized diet chart was formulated for each patient using Harris Benedict Equation. Nutritional assessment was done on 1) 1(st) day of oral feeding, 2) After 7 days of oral feeding, 3). After three months of oral feeding. Nutritional parameters (anthropometric, biochemical) employed were tabulated and statistically analysed with SPSS v 17, Chicago.
  
  
  RESULTS
  Out of 60 patients, 36 males and 24 females were enrolled in the study. The patients were in the age group of 20-60 years with a mean age of 45 years. After 7 days of oral nutrition the nutritional status deteriorated with a significant decrease in body weight (p<0.001) and serum haemoglobin (p <0.001). However, at the end of the study, the patients had their nutritional status restored satisfactorily with normalization of basic parameters like bodyweight, haemoglobin and serum albumin (p<0.001).
  
  
  CONCLUSIONS
  Proper dietary advice and oral nutrition were found to be sufficient for gradual restoration and maintenance of satisfactory nutritional status in the postoperative period.
authors.affiliation: Assistant Professor, Department of Surgery, Calcutta National Medical College , Kolkata, India .
authors.forename: Arunima
authors.initials: A
authors.lastname: Mukhopadhyay
authors.affiliation: Registrar, Department of Surgery, Appollo Gleneagles Hospital , Kolkata, India .
authors.forename: Debabrata
authors.initials: D
authors.lastname: Maity
authors.affiliation: Associate Professor, Department of Obstetrics and Gynaecology, Chittaranjan Seva Sadan, College of Obstetrics , Gynaecology and Child Health, Kolkata, India .
authors.forename: Ramprasad
authors.initials: R
authors.lastname: Dey
authors.affiliation: Senior Resident, Department of Radiotherapy, R G Kar Medical College , Kolkata, India .
authors.forename: Krishnangshu Bhanja
authors.initials: KB
authors.lastname: Choudhury
authors.affiliation: Professor, Department of Surgery, North Bengal Medical College , West Bengal, India .
authors.forename: Gautam
authors.initials: G
authors.lastname: Das
authors.affiliation: Professor, Department of Surgery, Calcutta National Medical College , Kolkata, India .
authors.forename: Ujjwal
authors.initials: U
authors.lastname: Bhattacharya
keywords: Gangrenous small intestine; Nutritional status; Postoperative nutrition
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