Comparison of late oral feeding with early oral feeding after stoma reversal.


  • Abubakar Siddiqui Hayatabad Medical Complex Peshawar.
  • Anwar Masood Lady Reading Hospital Peshawar.
  • Muhammad Zeb Hayatabad Medical Complex Peshawar.
  • Sabir Khan Khattak Hayatabad Medical Complex Peshawar.
  • Azhat Hayat Khan Hayatabad Medical Complex Peshawar.
  • Nasib Ali Hyatabaad Medical Complex Peshawar.



Anastomosis Leak, Early Oral Feeding, Late Oral Feeding, Loop Ileostomy Reversal


Objective: To compare early and late oral feeding after ileostomy closure in terms of postoperative anastomotic leakage. Study Design: Randomized Control Trial. Setting: Department of Surgery Unit, Leady Reading Hospital Peshawar. Period: July 2020 to January 2021. Material & Methods: All patients with stoma 226 (113 in each group) were observed. Patients were randomly divided into two categories. In the early postoperative period (within 24 hours of surgery), Group A permitted oral feeding. Group B who preserved "nil by mouth" for up to 72 hours during the post-operative phase. Patients were held null by mouth in the post-operative phase, while intravenous antibiotics and fluids were listed in both groups for up to the duration. In group A within 24 hours and in group B after 72 hours, 30 ml of liquid per hour was started orally. Follow-up was taken after the 7th day post-operative. The frequency of anastomotic leakage between the two groups was assessed and safety was defined based on anastomotic leakage. Results: The mean age in Group A was 42 years SD ± 6.94 for this analysis, while the mean age in Group B was 44 years SD +6.15. In 90 % of patients, more than Group A (early oral feeding) was safe, whereas Group B (late oral feeding) was safe in 86% of anastomotic leakage patients. Conclusion: Our research concludes that early oral feeding is better in terms of anastomotic leaks compared to late oral feeding after ileostomy closure.

Author Biographies

Abubakar Siddiqui, Hayatabad Medical Complex Peshawar.

MBBS, FCPS, Surgical Registrar, 

Anwar Masood, Lady Reading Hospital Peshawar.

MBBS, FCPS, Surgeon, 

Muhammad Zeb, Hayatabad Medical Complex Peshawar.

MBBS, Resident Surgeon, 

Sabir Khan Khattak, Hayatabad Medical Complex Peshawar.

MBBS, Resident Surgeon, 

Azhat Hayat Khan, Hayatabad Medical Complex Peshawar.

MBBS, Resident Surgeon, 

Nasib Ali, Hyatabaad Medical Complex Peshawar.

MBBS, Resident Surgeon,