Patient-Controlled Nutrition After Abdominal Surgery: Novel Concept Contrary to Surgical Dogma
Purpose According to surgical dogma, patients who are recovering from general anesthesia after abdominal surgery should begin with a clear liquid diet, progress to a full liquid diet and then to a soft diet before taking regular meals. We propose patient-controlled nutrition (PCN), which is a novel...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Coloproctology
2018-10-01
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| Series: | Annals of Coloproctology |
| Subjects: | |
| Online Access: | http://coloproctol.org/upload/pdf/ac-2018-05-29.pdf |
| _version_ | 1819274589268606976 |
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| author | Hyung Ook Kim Mingoo Kang Sung Ryol Lee Kyung Uk Jung Hungdai Kim Ho-Kyung Chun |
| author_facet | Hyung Ook Kim Mingoo Kang Sung Ryol Lee Kyung Uk Jung Hungdai Kim Ho-Kyung Chun |
| author_sort | Hyung Ook Kim |
| collection | DOAJ |
| description | Purpose According to surgical dogma, patients who are recovering from general anesthesia after abdominal surgery should begin with a clear liquid diet, progress to a full liquid diet and then to a soft diet before taking regular meals. We propose patient-controlled nutrition (PCN), which is a novel concept in postoperative nutrition after abdominal surgery. Methods A retrospective pilot study was conducted to evaluate the feasibility and effects of PCN. This study was carried out with a total of 179 consecutive patients who underwent a laparoscopic appendectomy between August 2014 and July 2016. In the PCN group, diet was advanced depending on the choice of the patients themselves; in the traditional group, diet was progressively advanced to a full liquid or soft diet and then a regular diet as tolerated. The primary endpoints were time to tolerance of regular diet and postoperative hospital stay. Results Time to tolerance of a regular diet (P < 0.001) and postoperative hospital stay (P < 0.001) showed statistically significant differences between the groups. Multivariate analysis using linear regression showed that the traditional nutrition pattern was the only factor associated with postoperative hospital stay (P < 0.001). Multivariate analysis using logistic regression showed that traditional nutrition was the only risk factor associated with prolonged postoperative hospital stay (≥3 days). Conclusion After abdominal surgery, PCN may be a feasible and effective concept in postoperative nutrition. In our Early Recovery after Surgery program, our PCN concept may reduce the time to tolerance of a regular diet and shorten the postoperative hospital stay. |
| first_indexed | 2024-12-23T23:10:50Z |
| format | Article |
| id | doaj.art-e159bc3755e8476c8d3b4a06e16f2550 |
| institution | Directory Open Access Journal |
| issn | 2287-9714 2287-9722 |
| language | English |
| last_indexed | 2024-12-23T23:10:50Z |
| publishDate | 2018-10-01 |
| publisher | Korean Society of Coloproctology |
| record_format | Article |
| series | Annals of Coloproctology |
| spelling | doaj.art-e159bc3755e8476c8d3b4a06e16f25502022-12-21T17:26:40ZengKorean Society of ColoproctologyAnnals of Coloproctology2287-97142287-97222018-10-0134525325810.3393/ac.2018.05.291592Patient-Controlled Nutrition After Abdominal Surgery: Novel Concept Contrary to Surgical DogmaHyung Ook KimMingoo Kang0Sung Ryol Lee1Kyung Uk Jung2Hungdai Kim3Ho-Kyung Chun4 Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, KoreaPurpose According to surgical dogma, patients who are recovering from general anesthesia after abdominal surgery should begin with a clear liquid diet, progress to a full liquid diet and then to a soft diet before taking regular meals. We propose patient-controlled nutrition (PCN), which is a novel concept in postoperative nutrition after abdominal surgery. Methods A retrospective pilot study was conducted to evaluate the feasibility and effects of PCN. This study was carried out with a total of 179 consecutive patients who underwent a laparoscopic appendectomy between August 2014 and July 2016. In the PCN group, diet was advanced depending on the choice of the patients themselves; in the traditional group, diet was progressively advanced to a full liquid or soft diet and then a regular diet as tolerated. The primary endpoints were time to tolerance of regular diet and postoperative hospital stay. Results Time to tolerance of a regular diet (P < 0.001) and postoperative hospital stay (P < 0.001) showed statistically significant differences between the groups. Multivariate analysis using linear regression showed that the traditional nutrition pattern was the only factor associated with postoperative hospital stay (P < 0.001). Multivariate analysis using logistic regression showed that traditional nutrition was the only risk factor associated with prolonged postoperative hospital stay (≥3 days). Conclusion After abdominal surgery, PCN may be a feasible and effective concept in postoperative nutrition. In our Early Recovery after Surgery program, our PCN concept may reduce the time to tolerance of a regular diet and shorten the postoperative hospital stay.http://coloproctol.org/upload/pdf/ac-2018-05-29.pdfpostoperative caredietnutritional supportabdominal surgeryappendectomy |
| spellingShingle | Hyung Ook Kim Mingoo Kang Sung Ryol Lee Kyung Uk Jung Hungdai Kim Ho-Kyung Chun Patient-Controlled Nutrition After Abdominal Surgery: Novel Concept Contrary to Surgical Dogma Annals of Coloproctology postoperative care diet nutritional support abdominal surgery appendectomy |
| title | Patient-Controlled Nutrition After Abdominal Surgery: Novel Concept Contrary to Surgical Dogma |
| title_full | Patient-Controlled Nutrition After Abdominal Surgery: Novel Concept Contrary to Surgical Dogma |
| title_fullStr | Patient-Controlled Nutrition After Abdominal Surgery: Novel Concept Contrary to Surgical Dogma |
| title_full_unstemmed | Patient-Controlled Nutrition After Abdominal Surgery: Novel Concept Contrary to Surgical Dogma |
| title_short | Patient-Controlled Nutrition After Abdominal Surgery: Novel Concept Contrary to Surgical Dogma |
| title_sort | patient controlled nutrition after abdominal surgery novel concept contrary to surgical dogma |
| topic | postoperative care diet nutritional support abdominal surgery appendectomy |
| url | http://coloproctol.org/upload/pdf/ac-2018-05-29.pdf |
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