Effects of Early Enteral and Parenteral Nutrition on Anastomosis Healing in Dogs Undergoing Jejunal Anastomosis

International Journal of Medical Science

© 2023 by SSRG - IJMS Journal

Volume 10 Issue 6

Year of Publication : 2023

Authors : Hakan Baysal, Mehmet Kacar

10.14445/23939117/IJMS-V10I6P102

How to Cite?

Hakan Baysal, Mehmet Kacar, "Effects of Early Enteral and Parenteral Nutrition on Anastomosis Healing in Dogs Undergoing Jejunal Anastomosis," SSRG International Journal of Medical Science, vol. 10,  no. 6, pp. 11-18, 2023. Crossref, https://doi.org/10.14445/23939117/IJMS-V10I6P102

Abstract:

Malnutrition is a common problem in surgical patients, occurring in approximately 50%. While good nutritional status accelerates wound healing, severe malnutrition contributes negatively to wound healing. This study aimed to investigate the effects of early enteral nutrition (EEN) and parenteral nutrition on anastomosis healing in cases with jejunal anastomosis. 12 dogs were operated on after 10 days of quarantine. Approximately 1 cm of the jejunum segment was resected, and anastomosis was performed. All subjects in the postoperative enteral and parenteral groups were given 50% of the calorie requirement on the first day and 75% of the calorie requirement on the second day. On the 7th postoperative day, the subjects were operated again, and the jejunum, including the anastomosis site, was resected with an average of 10-12 cm. Then, this anastomotic ring was created as a closed circuit and bursting pressures were calculated. Anastomotic burst pressures and biochemical parameters of the subjects were analyzed using Mann-Whitney U and correlation tests. Although anastomotic burst pressures were higher in the EEN group than in the parenteral nutrition group, the difference was insignificant in statistical analysis (p = 0.3173). In the study, it could not be shown that the anastomotic healing of the subjects who received EEN was superior to the early parenteral nutrition group.

Keywords:

Surgical anastomosis, Jejunum, Enteral nutrition, Parenteral nutrition.

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