start enteral feeding within 2 days postoperative

start enteral feeding after 2 days postoperative according to clinician discretion based on clinical progress(ranging from 1-5 days after passage of flatus or stool.

Post-Gastrointestinal Tract Surgery Malnutrition

Enteral feeding within 2 days postoperative

early enteral feeding within 2 days postoperative

Neonatal feeding: care and outcomes following gastrointestinal surgery.

Effects of Early Feeding Support on the Postoperative Weight Gain Status of Infants with Esophageal Atresia

Early Enteral Feeding after Pediatric Abdominal Surgery: A Systematic Review of the Literature

Early Enteral Nutrition in Neonates Following Abdominal Surgery

Have you passed gas yet? Time for a new approach to feeding patients post operatively.

Early feeding in tracheo esophageal fistula repair: Newer trends in post-operative care

Postoperative Enteral Nutrition Guidelines Reduce the Risk of Intestinal Failure-Associated Liver Disease in Surgical Infants

Early enteral feeding following repair of gastroschisis is associated with shorter length of admission and better nutritional outcomes

The Effect of Early Enteral Feeding on Neonates After GIT Surgery

The Effect of Early Enteral Feeding on Neonatal Outcome After Gastrointestinal Tract Surgery

Follow up and record of weight after surgery every 24 hours and compaire the results between the two groups

Record the length of hospital stay for each patient

Record the time to reach full enteral feeding for each patient and compaire the average time between the 2 groups

Record the time to pass first stool and compair the average time between the 2 groups

Observe the patients for signs of surgical site infection and record the number of patients who has surgical site infection in the groups

Observe the patients for signs of sepsis and record the number of patients who has sepsis in the groups

Electrolytes measurment is routinely done for each surgical patient we will record the result in our study and take the average for each group for comparison

Sandy Nashat Rezk Abaskharon

Principal investigator

Assiut University

L-ornithine L-aspartate (6 ampules, each ampule containing 5 grams of the drug in 10 ml solution) to be diluted in 440 ml of Dextrose 5% (to make a total of 500 ml of solution), as intravenous infusion at the rate of 21 ml/hour, over 24 hours, for 5 days

Placebo (sterile water, 6 ampuoles of 10 ml each) diluted in 440 ml of Dextrose 5%, as intravenous infusion at the rate of 21 ml/hour, over 24 hours, for 5 days

Cirrhosis of Liver

Hepatic Encephalopathy

L-ornithine L-aspartate

Placebo (sterile water, 60 ml) diluted in 440 ml of Dextrose 5%, as intravenous infusion at the rate of 21 ml/hour, over 24 hours, for 5 days

Placebo

Department of Gastroenterology, D.M.C. and Hospital

G.B. Pant Hospital

L-ornithine L-aspartate in Overt Hepatic Encephalopathy

Efficacy of Intravenous 'L-ornithine L-aspartate' in Reversal of Overt Acute Hepatic Encephalopathy in Patients With Liver Cirrhosis: a Prospective, Randomized, Double-blind, Placebo Controlled Trial

Mental state grade according to West Haven criteria for Hepatic encephalopathy

Change in blood ammonia levels will be measured at baseline and after 5 days of treatment

Mortality rate in the two groups at 4 weeks will be compared

The total length of hospital stay (number of days) in each group will be compared.

Change in serum cytokine levels (Interleukin-1, Interleukin-6, Interleukin-10 and TNF-alpha will be measured at baseline and after 5 days of treatment.

disaccharide/zvracení

The Effect of Early Enteral Feeding on Neonates After GIT Surgery

L-ornithine L-aspartate in Overt Hepatic Encephalopathy

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