A randomized controlled trial evaluating early versus traditional oral feeding after colorectal surgery

OBJECTIVE: This prospective randomized clinical study was conducted to evaluate the safety and tolerability of early oral feeding after colorectal operations. METHODS: A total of 199 patients underwent colorectal surgery and were randomly assigned to early feeding (n = 99) or a regular diet (n = 100...

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Main Authors: Ahmet Dag, Tahsin Colak, Ozgur Turkmenoglu, Ramazan Gundogdu, Suha Aydin
Format: Article
Language:English
Published: Elsevier España 2011-01-01
Series:Clinics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322011001200001
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author Ahmet Dag
Tahsin Colak
Ozgur Turkmenoglu
Ramazan Gundogdu
Suha Aydin
author_facet Ahmet Dag
Tahsin Colak
Ozgur Turkmenoglu
Ramazan Gundogdu
Suha Aydin
author_sort Ahmet Dag
collection DOAJ
description OBJECTIVE: This prospective randomized clinical study was conducted to evaluate the safety and tolerability of early oral feeding after colorectal operations. METHODS: A total of 199 patients underwent colorectal surgery and were randomly assigned to early feeding (n = 99) or a regular diet (n = 100). Patients’ characteristics, diagnoses, surgical procedures, comorbidity, bowel movements, defecation, nasogastric tube reinsertion, time of tolerance of solid diet, complications, and length of hospitalization were assessed. RESULTS: The two groups were similar in terms of gender, age, diagnosis, surgical procedures, and comorbidity. In the early feeding group, 85.9% of patients tolerated the early feeding schedule. Bowel movements (1.7±0.89 vs. 3.27±1.3), defecation (3.4±0.77 vs. 4.38±1.18) and time of tolerance of solid diet (2.48±0.85 vs. 4.77±1.81) were significantly earlier in the early feeding group. There was no change between the groups in terms of nasogastric tube reinsertion, overall complication or anastomotic leakage. Hospitalization (5.55±2.35 vs. 9.0±6.5) was shorter in the early feeding group. CONCLUSIONS: The present study indicated that early oral feeding after elective colorectal surgery was not only well tolerated by patients but also affected the postoperative outcomes positively. Early postoperative feeding is safe and leads to the early recovery of gastrointestinal functions.
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spelling doaj.art-2f8b69bec3634097beb211c0f05e02262022-12-22T03:37:16ZengElsevier EspañaClinics1807-59321980-53222011-01-0166122001200510.1590/S1807-59322011001200001A randomized controlled trial evaluating early versus traditional oral feeding after colorectal surgeryAhmet DagTahsin ColakOzgur TurkmenogluRamazan GundogduSuha AydinOBJECTIVE: This prospective randomized clinical study was conducted to evaluate the safety and tolerability of early oral feeding after colorectal operations. METHODS: A total of 199 patients underwent colorectal surgery and were randomly assigned to early feeding (n = 99) or a regular diet (n = 100). Patients’ characteristics, diagnoses, surgical procedures, comorbidity, bowel movements, defecation, nasogastric tube reinsertion, time of tolerance of solid diet, complications, and length of hospitalization were assessed. RESULTS: The two groups were similar in terms of gender, age, diagnosis, surgical procedures, and comorbidity. In the early feeding group, 85.9% of patients tolerated the early feeding schedule. Bowel movements (1.7±0.89 vs. 3.27±1.3), defecation (3.4±0.77 vs. 4.38±1.18) and time of tolerance of solid diet (2.48±0.85 vs. 4.77±1.81) were significantly earlier in the early feeding group. There was no change between the groups in terms of nasogastric tube reinsertion, overall complication or anastomotic leakage. Hospitalization (5.55±2.35 vs. 9.0±6.5) was shorter in the early feeding group. CONCLUSIONS: The present study indicated that early oral feeding after elective colorectal surgery was not only well tolerated by patients but also affected the postoperative outcomes positively. Early postoperative feeding is safe and leads to the early recovery of gastrointestinal functions.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322011001200001Early FeedingColorectal SurgeryPostoperative ComplicationFasting
spellingShingle Ahmet Dag
Tahsin Colak
Ozgur Turkmenoglu
Ramazan Gundogdu
Suha Aydin
A randomized controlled trial evaluating early versus traditional oral feeding after colorectal surgery
Clinics
Early Feeding
Colorectal Surgery
Postoperative Complication
Fasting
title A randomized controlled trial evaluating early versus traditional oral feeding after colorectal surgery
title_full A randomized controlled trial evaluating early versus traditional oral feeding after colorectal surgery
title_fullStr A randomized controlled trial evaluating early versus traditional oral feeding after colorectal surgery
title_full_unstemmed A randomized controlled trial evaluating early versus traditional oral feeding after colorectal surgery
title_short A randomized controlled trial evaluating early versus traditional oral feeding after colorectal surgery
title_sort randomized controlled trial evaluating early versus traditional oral feeding after colorectal surgery
topic Early Feeding
Colorectal Surgery
Postoperative Complication
Fasting
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322011001200001
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