scholarly journals EARLY ORAL FEEDING POST-UPPER GASTROINTESTINAL TRACT RESECTION AND PRIMARY ANASTOMOSIS IN ONCOLOGY

2018 ◽  
Vol 31 (1) ◽  
Author(s):  
Lilian Pinheiro LOPES ◽  
Taysa Machado MENEZES ◽  
Diogo Oliveira TOLEDO ◽  
Antônio Talvane Torres DE-OLIVEIRA ◽  
Adhemar LONGATTO-FILHO ◽  
...  
Keyword(s):  
Enteral Nutrition ◽  
Total Gastrectomy ◽  
Primary Anastomosis ◽  
Gastrointestinal Surgery ◽  
Oral Intake ◽  
Wound Dehiscence ◽  
Oral Feeding ◽  
Oral Nutrition ◽  
Early Oral Feeding ◽  
Upper Gastrointestinal

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.

Comparing early oral feeding with traditional oral feeding in upper gastrointestinal surgery

2010 ◽  
Vol 21 (2) ◽  
pp. 119-124 ◽  
Author(s):  
Seyed Nejat HOSSEINI ◽  
Seyed Nouraddin MOUSAVINASAB ◽  
Haleh RAHMANPOUR ◽  
Somayeh SOTODEH
Keyword(s):  
Gastrointestinal Surgery ◽  
Oral Feeding ◽  
Early Oral Feeding ◽  
Upper Gastrointestinal

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

2016 ◽  
Vol 264 (1) ◽  
pp. 54-63 ◽  
Author(s):  
Kate F. Willcutts ◽  
Mei C. Chung ◽  
Cheryl L. Erenberg ◽  
Kristen L. Finn ◽  
Bruce D. Schirmer ◽  
...  
Keyword(s):  
Gastrointestinal Surgery ◽  
Oral Feeding ◽  
Early Oral Feeding ◽  
Upper Gastrointestinal

scholarly journals Oral Nutritional Supplements and Enteral Nutrition in Patients with Gastrointestinal Surgery

Nutrients ◽  
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.

scholarly journals Technical Feasibility of TachoSil Application on Esophageal Anastomoses

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Leonie Haverkamp ◽  
Jelle P. Ruurda ◽  
Richard van Hillegersberg
Keyword(s):  
Mechanical Strength ◽  
Anastomotic Leakage ◽  
Total Gastrectomy ◽  
Gastrointestinal Surgery ◽  
Laparoscopic Total Gastrectomy ◽  
Human Fibrinogen ◽  
Technical Feasibility ◽  
Future Studies ◽  
Patch Application ◽  
Upper Gastrointestinal

Purpose. Sealing esophageal anastomoses with a sealant patch (TachoSil) containing human fibrinogen and thrombin may improve mechanical strength. The aim was to evaluate the technical feasibility of the application of a sealant patch in upper gastrointestinal surgery.Methods. In total 15 patients, 18–80 years old, undergoing thoracolaparoscopic esophagectomy with esophagogastrostomy or laparoscopic total gastrectomy with esophagojejunostomy was included. Different techniques of anastomotic TachoSil patch application were tested and recorded on video.Results. TachoSil was successfully applied to the esophagogastrostomy (n=11) and to the esophagojejunostomy (n=4). A median of 2 (1–6) attempts was necessary to reach successful application. The median duration was 7 (3–26) minutes before successful application was accomplished. The best technique in esophagectomy was the application of TachoSil with the use of 2 cellophane sheets. For total gastrectomy, the patch was folded into a harmonica shape and wrapped around the esophagojejunostomy. Although not significant, the number of attempts and time to success showed a decreasing trend along with the increased experience.Conclusion. Application of TachoSil as a sealant of esophageal anastomoses was technically feasible. Future studies may investigate the value of TachoSil application on the prevention of anastomotic leakage.

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