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Feeding regimens after pyloromyotomy

✍ Scribed by Mr R. A. Wheeler; A. S. Najmaldin; N. Stoodley; D. M. Griffiths; D. M. Burge; J. D. Atwell

Publisher: John Wiley and Sons
Year: 1990
Tongue: English
Weight: 195 KB
Volume: 77
Category: Article
ISSN: 0007-1323
DOI: 10.1002/bjs.1800770921

No coin nor oath required. For personal study only.

✦ Synopsis

In a prospective randomized study three different feeding regimens after operation were compared in 74 babies with infantile hypertrophic pyloric stenosis: gradual regrading of feeds over 48 h (regimen I), rapid regrading of feeds over 16 h (regimen 2), and initial starvation followed by full normal feeds at 24 h (regimen 3). No signijicant 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 I , 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.

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