الفهرس 
Intestinal AnastmosisOnly 14 pages are availabe for public view
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Abstract
Background: Elective intestinal anastomosis is a frequently used surgical procedure in pediatric surgery. This option is used to restore intestinal continuity (ileostomy or colostomy closure), resolve an inflammatory disease or functional or anatomic congenital malformation.
Aim of the Work: The aim of this study is to determine whether early enteral nutrition following elective gastrointestinal anastomosis surgery in children leads to improved patient outcome measures and to assess whether this practice increases the risk of postoperative complications, according to literature published in the period from 2010- 2020
Patients and Methods: We searched PubMed, Cochrane, Embase, Google scholar, Egyptian Knowledge Bank including Science Direct, Scopus and Web of Science. Data from 2010 – 2020 were obtained using the following Medical Subject Headings (MeSH) terms. For the early aspect of nutrition, we used the MeSH terms ‘‘early’’ or ‘‘enhanced recovery’’ and ‘‘enteral nutrition’’ or ‘‘feeding’’. For the surgical background, we used the MeSH terms ‘‘gastrointestinal’’ or ‘‘bowel/intestinal’’ or ‘‘colorectal’’ and ‘‘surgery’’ or ‘‘anastomosis’’ or ‘‘resection,’’ while for the population we used the terms ‘‘child’’ or ‘‘pediatric’’ or ‘‘infant’’. Multiple outcomes were used. The softwares Review Manager (RevMan 5.3, The Cochrane Collaboration) and STATA (Stata Corp. 2007) were used to analyse the data and formulate the results.
Results: Clinical and electrophysiological studies have shown that the small bowel recovers normal function within 4 - 8 hours of laparotomy and the colon within 24 hours; The electrolytic, glucose and nutrient absorption ability of the bowel is not affected after a surgery of anastomosis; It is clearly demonstrated that the mucosal epithelium of the bowel is perfectly sealed after the first 24 hours of the postoperative period; Early feeding accelerates the wound and anastomosis healing in the animal model and There is clear evidence that EF is associated with less incidence of nosocomial infections, liver dysfunction, length of stay, bacterial translocation, secondary malnutrition, and promotes peristalsis, bowel movements and ambulation in surgical adult patients.
Conclusion: When early enteral nutrition was compared to traditional delayed feeding, results showed that EEN is safe and effective in pediatric patients undergoing elevtive intestinal anastomosis.