Alimentación temprana en pacientes aleatorizados poscolecistectomía laparascópica electiva en los Hospitales Vicente Corral Moscoso y José Carrasco Arteaga. 2013

Abstract

Objective: Determine the benefits of early feeding in patients undergoing elective laparoscopic cholecystectomy (LC) in hospitals Vicente Corral Moscoso and José Carrasco and Arteaga Methodology:it was an experimental study. The study population included patients 18 to 60 years with indications for laparoscopic cholecystectomy, presenting to surgery department of Vicente Corral Moscoso and José Carrasco Arteaga Hospital, who were operated on electivel. We worked with 220 patients. By Epidat was randomly divided , 50 % were initiated early feeding at 6 and a half hours , the remaining 50 % delayed feeding at 24 hours postoperative . Early feeding defined as the entry of clear fluids, water 100cc. For the collection of data based on the study variables form was used. The data were tabulated and analyzed in the program SPSS18.0 to analyze descriptive statistics percentage rate and measure of central tendency was used to find association prevalence ratio with confidence intervals of 95 %, Chi square for statistical significance with p value Results: The mean age of the experimental group was at 42.17 years with SD of 11.36 and the control group started with a SD 42.21 years 11.37 years, sex was the most prevalent with 70.5% female and 55% of the population had less than 60 minutes operating time. Benefit of early initiation of feeding in patients CL elective post in the following variables were determined: nausea at 6 and a half hours (; RRR 0.7; RAR NNT 6 RR 0.17 and 0.30); vomiting at 6 and a half hours (RR 0.14, RRR 0.86, 0.11 RAR and NNT 10) and pain at 24 hours (0 % of mild to moderate pain in the experimental group and 76.4 % in control group). Conclusions: Early feeding after elective LC patients reduces the risk of nausea, vomiting and pain. Keywords: FOOD, CHOLECYSTECTOMY, LAPAROSCOPY, NAUSEA, VOMITING, PAIN.