Early Postoperative Feeding - A Continuing Controversy in Pyloric Stenosis | Zendy

M E Foster | Zendy; Wyn G. Lewis | Zendy

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Early Postoperative Feeding - A Continuing Controversy in Pyloric Stenosis

Author(s) -

M E Foster,

Wyn G. Lewis

Publication year - 1989

Publication title -

journal of the royal society of medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.38

H-Index - 81

eISSN - 1758-1095

pISSN - 0141-0768

DOI - 10.1177/014107688908200908

Subject(s) - pyloromyotomy , medicine , vomiting , hypertrophic pyloric stenosis , pyloric stenosis , regimen , adverse effect , anesthesia , pylorus , surgery , pediatrics , stomach

Two regimens of postoperative fluid management are currently used following pyloromyotomy. Both early or delayed feeding have their advocates. The present study reviews 127 infants managed by the early feeding regimen. Although vomiting was common (79%) early discharge (75% within 72 h) was followed by no adverse effects. Weight gain at 7 days was unaffected by postoperative vomiting. Early feeding and early discharge can be achieved without increase in morbidity and may be the preferred method of postoperative management.

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