EARLY ORAL FEEDING POST-UPPER GASTROINTESTINAL TRACT RESECTION AND PRIMARY ANASTOMOSIS IN ONCOLOGY
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...
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Format: | Article |
Language: | English |
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Colégio Brasileiro de Cirurgia Digestiva
2018-06-01
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Series: | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
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Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202018000100320&tlng=pt |
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author | Lilian Pinheiro LOPES Taysa Machado MENEZES Diogo Oliveira TOLEDO Antônio Talvane Torres DE-OLIVEIRA Adhemar LONGATTO-FILHO José Eduardo de Aguilar NASCIMENTO |
author_facet | Lilian Pinheiro LOPES Taysa Machado MENEZES Diogo Oliveira TOLEDO Antônio Talvane Torres DE-OLIVEIRA Adhemar LONGATTO-FILHO José Eduardo de Aguilar NASCIMENTO |
author_sort | Lilian Pinheiro LOPES |
collection | DOAJ |
description | 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. |
first_indexed | 2024-12-17T17:39:37Z |
format | Article |
id | doaj.art-dbb79cc363ba431aa2df184c099632f8 |
institution | Directory Open Access Journal |
issn | 0102-6720 |
language | English |
last_indexed | 2024-12-17T17:39:37Z |
publishDate | 2018-06-01 |
publisher | Colégio Brasileiro de Cirurgia Digestiva |
record_format | Article |
series | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
spelling | doaj.art-dbb79cc363ba431aa2df184c099632f82022-12-21T21:39:13ZengColégio Brasileiro de Cirurgia DigestivaABCD: Arquivos Brasileiros de Cirurgia Digestiva0102-67202018-06-0131110.1590/0102-672020180001e1359EARLY ORAL FEEDING POST-UPPER GASTROINTESTINAL TRACT RESECTION AND PRIMARY ANASTOMOSIS IN ONCOLOGYLilian Pinheiro LOPESTaysa Machado MENEZESDiogo Oliveira TOLEDOAntônio Talvane Torres DE-OLIVEIRAAdhemar LONGATTO-FILHOJosé Eduardo de Aguilar NASCIMENTOABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202018000100320&tlng=ptEsophagectomyGastrectomySurgical oncologyFeeding |
spellingShingle | Lilian Pinheiro LOPES Taysa Machado MENEZES Diogo Oliveira TOLEDO Antônio Talvane Torres DE-OLIVEIRA Adhemar LONGATTO-FILHO José Eduardo de Aguilar NASCIMENTO EARLY ORAL FEEDING POST-UPPER GASTROINTESTINAL TRACT RESECTION AND PRIMARY ANASTOMOSIS IN ONCOLOGY ABCD: Arquivos Brasileiros de Cirurgia Digestiva Esophagectomy Gastrectomy Surgical oncology Feeding |
title | EARLY ORAL FEEDING POST-UPPER GASTROINTESTINAL TRACT RESECTION AND PRIMARY ANASTOMOSIS IN ONCOLOGY |
title_full | EARLY ORAL FEEDING POST-UPPER GASTROINTESTINAL TRACT RESECTION AND PRIMARY ANASTOMOSIS IN ONCOLOGY |
title_fullStr | EARLY ORAL FEEDING POST-UPPER GASTROINTESTINAL TRACT RESECTION AND PRIMARY ANASTOMOSIS IN ONCOLOGY |
title_full_unstemmed | EARLY ORAL FEEDING POST-UPPER GASTROINTESTINAL TRACT RESECTION AND PRIMARY ANASTOMOSIS IN ONCOLOGY |
title_short | EARLY ORAL FEEDING POST-UPPER GASTROINTESTINAL TRACT RESECTION AND PRIMARY ANASTOMOSIS IN ONCOLOGY |
title_sort | early oral feeding post upper gastrointestinal tract resection and primary anastomosis in oncology |
topic | Esophagectomy Gastrectomy Surgical oncology Feeding |
url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202018000100320&tlng=pt |
work_keys_str_mv | AT lilianpinheirolopes earlyoralfeedingpostuppergastrointestinaltractresectionandprimaryanastomosisinoncology AT taysamachadomenezes earlyoralfeedingpostuppergastrointestinaltractresectionandprimaryanastomosisinoncology AT diogooliveiratoledo earlyoralfeedingpostuppergastrointestinaltractresectionandprimaryanastomosisinoncology AT antoniotalvanetorresdeoliveira earlyoralfeedingpostuppergastrointestinaltractresectionandprimaryanastomosisinoncology AT adhemarlongattofilho earlyoralfeedingpostuppergastrointestinaltractresectionandprimaryanastomosisinoncology AT joseeduardodeaguilarnascimento earlyoralfeedingpostuppergastrointestinaltractresectionandprimaryanastomosisinoncology |