Affiliation:
1. Assistant Professor in Dept. of General Surgery, GCSMC & RC
2. Assistant Professor in Dept. of General Surgery, Civil Hospital Ahmedabad
Abstract
Background: a fecal stula is dreadful complication both for patients ,surgeons and care takers after the major
abdominal surgery. though rarely encountered but very challenging as the chance of operability and future healing always
remains a question in surgeon's mind and sigh of relief isn't possible until patients starts tolerating oral feeds. A conservative management option
always hit the surgeon's mind, the same idea has been evaluated here in detail. the objective was to analyze and check the Objectives:
effectiveness of conservative management option of fecal stula in our patients and to which extent it is viable to adhere it in patients. We have
choose some parameters to assess it which has been described later. Patients and Methods: In this study, a comparative study was done about
evaluation of total gut irrigation method for the closure of fecal stula. The total 40 patients over the period of 2 years were included in the study
and 20 patients were divided in each group, in one group we had given the total gut irrigation and in another group we did not give any gut
irrigation. We evaluated the both groups on following parameters.1. spontaneous closure of fecal stula 2. Skin conditions 3. Time to start the
oral feed 4. Days of hospitalization 5. Development of features of intestinal obstruction 6. Sepsis in patients. Results: In this study we found that
for the low output stula and some selective cases of medium output stula, the TGI is good and attractive option, though the statistical test
doesn't show difference on some points mentioned above but in half of the parameters they were signicant. In high output stula group we found
not much usability of TGI but in previous two types there was clear positive difference on almost all parameters. Total gut Conclusion:
irrigation(TGI) is a simple and an important bedside test whose methodology when applied to acute fecal stula helps to characterize the stula
from a functional aspect. In our study of 40 patients we found the clear mandate of TGI in low output and selective medium output stula
Subject
Marketing,Strategy and Management,General Economics, Econometrics and Finance,Accounting,General Biochemistry, Genetics and Molecular Biology,Immunology and Microbiology (miscellaneous),Medicine (miscellaneous),Neuroscience (miscellaneous),Genetics,Molecular Biology,Biochemistry,Cell Biology,Genetics,Molecular Biology,General Medicine,Cell Biology,Molecular Biology,Biochemistry,Genetics,Molecular Biology,General Medicine,Endocrinology,Genetics,Molecular Biology,Biochemistry,Mechanical Engineering,Mechanics of Materials,Building and Construction,Civil and Structural Engineering,General Medicine,Library and Information Sciences
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