Impact of serum levels of sodium, potassium, and albumin for fistula formation rate after intestinal surgery

Document Type : Original Article

Author

General surgery, merit university, sohag, egypt

Abstract

Background:
The occurrence of intestinal fistula after intestinal surgery presents as a significant complication that can delay recovery and worsen patient outcomes. Early postoperative feeding has been shown to improve postoperative recovery. This study aims to investigate the relationship between early postoperative feeding implementation and the serum levels of sodium, potassium, and albumin in developing intestinal fistula post intestinal surgery. These results indicate early postoperative feeding plays a role in improving clinical outcomes and so reduces the incidence of intestinal fistula formation.
Methods: This prospective cohort study was carried out on 25 patients, both sexes, who underwent intestinal surgery with early feeding and monitoring sodium, potassium, and albumin levels.
Results: laboratory investigations (ALB, K, and Na) were insignificantly different between patients without any postoperative leakage.
Conclusions: There was an insignificant difference in sodium, potassium, and albumin levels in forming intestinal fistula post-intestinal surgery with early postoperative feeding; as these biochemical markers may not be directly associated with the occurrence of leakage following intestinal surgery. Intestinal fistula formation, which is likely influenced by a combination of factors such as surgical technique, local tissue healing, infection, and patient-specific variables, rather than biochemical markers.
Keywords: Early postoperative feeding, intestinal surgery, intestinal fistula, sodium, potassium albumin.

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