الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Clinical nutrition is one of the major concerns that play a vital role for clinical outcome. Major surgeries bear the risk of malnutrition during the postoperative course. Poor nutritional status contributes to poor outcomes like; higher morbidity and mortality risk, longer hospital length of stay (LOS), increased cost of hospitalization and occurrence of disease complications, so early enteral feeding is especially relevant for any surgical patient at nutritional risk, especially for those undergoing gastrointestinal surgery.
There are many tools and scores created to assess nutrition which use a variety of criteria. There is no international consensus on a single “best tool, but the majority of these scores use anthropometric measurements, biochemical parameters and clinical outcomes.
This study aimed to compare the benefits of early versus late initiation of enteral nutrition in cancer patients who underwent major abdominal surgeries. The primary objective was to assess the effectiveness of early enteral nutrition in improving the patient’s nutritional status after surgery. The secondary objectives included analysing the impact of enteral nutrition on clinical outcomes such as the duration of intensive care unit and hospital stay, in-hospital mortality, and postoperative wound complications. This study provides valuable insights into the benefits of timely enteral nutrition for cancer patients who have undergone major abdominal surgeries.
In this study, forty patients underwent preoperative nutritional assessment, were admitted to the postoperative surgical ICU, and were followed daily from the morning of postoperative day 1 in the ICU for the possibility of starting enteral nutrition safely. ESPEN guidelines in surgery (13) recommend initiation of early enteral nutrition including clear fluid within the first 2 day postoperative rather than delaying enteral nutrition. At the end of the fourth day, a total number of the included participants were differentiated according to time of establishment of the enteral nutrition into 2 subgroups:
A. Early enteral nutrition (Early) group: participants initiated and established enteral feed within the first or second postoperative day.
B. Late enteral nutrition (Late) group: participants initiated and established enteral feed within the third or fourth postoperative day
The present study was carried out in Alexandria Main University Hospitals on forty patients of either sex who scheduled to undergo major abdominal surgeries for colorectal cancer under general anaesthesia.
The patients planned for colorectal cancer excision operation were included in this study except those having history of severe diseases such as liver and renal failure , high risk of malnutrition by Malnutrition Universal Screening Tool (MUST score) or aged less than 18 years were excluded.
We conducted that;
Nutritional status of the candidates for this study were evaluated preoperatively as a baseline both clinically and laboratory