British journal of surgery · 1990 · 35 citations · 7 references
MedicinePediatricsSurgeryChild NutritionInfant FeedingPediatric NutritionInfant Feeding PracticesPediatric Gastrointestinal DisordersPediatric Surgical NutritionPostoperative VomitingVomiting ControlVomiting ManagementDietary Management Of VomitingEarly Feeding After SurgeryHospital Stay DurationPediatric Postoperative VomitingPostoperative Length Of StayPostoperative Vomiting ManagementRegradingVomiting Episode
In a prospective randomized study three different feeding regimens after operation were compared in 74 babies with infantile hypertrophic pyloric stenosis: gradual regarding of feeds over 48 h (regimen 1), rapid regarding of feeds over 16 h (regimen 2), and initial starvation followed by full normal feeds at 24 h (regimen 3). No significant 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 1, 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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