Early Oral Feeding as Compared With Traditional Timing of Oral Feeding After Upper Gastrointestinal Surgery

ABSTRACT Background: The practice of starving patients in the immediate period after upper gastrointestinal surgery is widespread. Early oral intake has been shown to be feasible and may result in faster recovery and decrease length of hospital. Aim: To evaluate the feasibility and safety of oral nutrition on postoperative early feeding after upper gastrointestinal surgeries. Methods: Observational cohort design study with convenience retrospective data in both genders, over 18 years, undergoing to total gastrectomy and/or elective esophagectomy. They have received oral or enteral nutrition in less than 48 h after surgery, and among those who started with enteral nutrition, the oral feeding up to seven days. Results: The study was performed in 161 patients, 24 (14.9%) submitted to esophagectomy, 132 (82%) to total gastrectomy and five (3.1%) to esophagogastrectomy. Was observed good dietary acceptance and low percentage (29%) of gastrointestinal intolerances, more pronounced among those with enteral diet. Most of the patients did not present postoperative complications, 11 (6.8%) were reopened, five (3.1%) had fistulas, three (1.9%) wound dehiscence, three (1.9%) fistula more wound dehiscence and six (3.7%) other non-infectious complications. Conclusion: Early oral diet is safe and viable for patients undergoing upper gastrointestinal surgery.

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Efficacy and safety of early oral feeding in postoperative patients with upper gastrointestinal tumor: A systematic review and meta-analysis

World Journal of Gastrointestinal Surgery ◽

10.4240/wjgs.v13.i7.717 ◽

2021 ◽

Vol 13 (7) ◽

pp. 717-733

Author(s):

Tao Hao ◽

Qian Liu ◽

Xin Lv ◽

Jun Qiu ◽

Hao-Ran Zhang ◽

...

Keyword(s):

Systematic Review ◽

Meta Analysis ◽

Oral Feeding ◽

Efficacy And Safety ◽

Gastrointestinal Tumor ◽

Early Oral Feeding ◽

Upper Gastrointestinal

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Oral Nutritional Supplements and Enteral Nutrition in Patients with Gastrointestinal Surgery

Nutrients ◽

10.3390/nu13082655 ◽

2021 ◽

Vol 13 (8) ◽

pp. 2655

Author(s):

Maria Wobith ◽

Arved Weimann

Keyword(s):

Enteral Nutrition ◽

Enhanced Recovery ◽

Enhanced Recovery After Surgery ◽

Gastrointestinal Surgery ◽

Nutritional Therapy ◽

Oral Feeding ◽

Calorie Intake ◽

Obese Patients ◽

Oral Nutritional Supplements ◽

Upper Gastrointestinal

Nowadays, patients undergoing gastrointestinal surgery are following perioperative treatment in enhanced recovery after surgery (ERAS) protocols. Although oral feeding is supposed not to be stopped perioperatively with respect to ERAS, malnourished patients and inadequate calorie intake are common. Malnutrition, even in overweight or obese patients, is often underestimated. Patients at metabolic risk have to be identified early to confirm the indication for nutritional therapy. The monitoring of nutritional status postoperatively has to be considered in the hospital and after discharge, especially after surgery in the upper gastrointestinal tract, as normal oral food intake is decreased for several months. The article gives an overview of the current concepts of perioperative enteral nutrition in patients undergoing gastrointestinal surgery.

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Effects of early oral feeding on relapse and symptoms of upper gastrointestinal bleeding in peptic ulcer disease

Digestive Endoscopy ◽

10.1111/j.1443-1661.2012.01347.x ◽

2012 ◽

Vol 25 (2) ◽

pp. 125-129 ◽

Cited By ~ 10

Author(s):

Manouchehr Khoshbaten ◽

Saeideh Ghaffarifar ◽

Afshin Jabbar Imani ◽

Tahere Shahnazi

Keyword(s):

Peptic Ulcer ◽

Gastrointestinal Bleeding ◽

Peptic Ulcer Disease ◽

Upper Gastrointestinal Bleeding ◽

Oral Feeding ◽

Ulcer Disease ◽

Early Oral Feeding ◽

Upper Gastrointestinal

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Early Oral Feeding After Surgery for Upper Gastrointestinal Malignancies: A Prospective Cohort Study

Oman Medical Journal ◽

10.5001/omj.2016.36 ◽

2016 ◽

Vol 31 (3) ◽

pp. 182-187 ◽

Cited By ~ 5

Author(s):

Saeed Shoar ◽

Mohammad Naderan ◽

Habibollah Mahmoodzadeh ◽

Negin Hosseini- Araghi ◽

Nastaran Mahboobi ◽

...

Keyword(s):

Cohort Study ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Oral Feeding ◽

Gastrointestinal Malignancies ◽

Early Oral Feeding ◽

Upper Gastrointestinal

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Early oral feeding is safe and useful after rectosigmoid resection with anastomosis during cytoreductive surgery for primary ovarian cancer

World Journal of Surgical Oncology ◽

10.1186/s12957-021-02186-6 ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Kazuyoshi Kato ◽

Kohei Omatsu ◽

Sanshiro Okamoto ◽

Maki Matoda ◽

Hidetaka Nomura ◽

...

Keyword(s):

Ovarian Cancer ◽

Hospital Stay ◽

Anastomotic Leakage ◽

Cytoreductive Surgery ◽

Group Versus ◽

Postoperative Hospital Stay ◽

Oral Feeding ◽

Early Oral Feeding ◽

Rectosigmoid Resection ◽

Primary Ovarian Cancer

Abstract Background The aim of this study was to investigate the safety and clinical usefulness of early oral feeding (EOF) after rectosigmoid resection with anastomosis for the treatment of primary ovarian cancer. Methods We performed a retrospective review of all consecutive patients who had undergone rectosigmoid resection with anastomosis for primary ovarian, tubal, or peritoneal cancer between April 2012 and March 2019 in a single institution. Patient-related, disease-related, and surgery-related data including the incidence of anastomotic leakage and postoperative hospital stay were collected. EOF was introduced as a postoperative oral feeding protocol in September 2016. Before the introduction of EOF, conventional oral feeding (COF) had been used. Results Two hundred and one patients who underwent rectosigmoid resection with anastomosis, comprised of 95 patients in the COF group and 106 patients in the EOF group, were included in this study. The median number of postoperative days until the start of diet intake was 5 (range 2–8) in the COF group and 2 (range 2–8) in the EOF group (P < 0.001). Postoperative morbidity was equivalent between the groups. The incidence of anastomotic leakage was similar (1%) in both groups. The median length of the postoperative hospital stay was reduced by 6 days for the EOF group: 17 (range 9–67) days for the COF group versus 11 (8–49) days for the EOF group (P < 0.001). Conclusion EOF provides a significant reduction in the length of the postoperative hospital stay without an increased complication risk after rectosigmoid resection with anastomosis as a part of cytoreductive surgery for primary ovarian cancer.

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