Early Oral Feeding as Compared With Traditional Timing of Oral Feeding After Upper Gastrointestinal Surgery: A Systematic Review and Meta-analysis
Abstract
Objective To compare the effects of early oral feeding to traditional (or late) timing of oral feeding after upper gastrointestinal surgery on clinical outcomes. Background Early postoperative oral feeding is becoming more common, particularly as part of multimodal or fast-track protocols. However, concerns remain about the safety of early oral feeding after upper gastrointestinal surgery. Methods Comprehensive literature searches were conducted across 5 databases from January 1980 until June 2015 without language restriction. Risk of bias of included studies was appraised and random-effects model meta-analyses were performed to synthesize outcomes of anastomotic leaks, pneumonia, nasogastric tube reinsertion, reoperation, readmissions, and mortality. Results Fifteen studies comprising 2112 adult patients met all the inclusion criteria. Mean hospital stay was significantly shorter in the early-fed group than in the late-fed group [weighted mean difference = -1.72 d, 95% confidence interval (CI) -1.25 to -2.20, P Conclusions Early postoperative oral feeding as compared with traditional (or late) timing is associated with shorter hospital length of stay and is not associated with an increase in clinically relevant complications.
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In that Chinese RCT, there were no significant differences in postoperative complications between the two groups.
“There were no significant differences in postoperative 1607 complications between the two groups [216].”
From ESPEN guideline on hospital nutrition (2021) · cites this paper as [216]
In a Chinese RCT of 100 patients undergoing laparoscopic radical gastrectomy, early oral feeding was not harmful compared with traditional delayed feeding.
“A Chinese RCT of 100 patients undergoing laparoscopic radical gastrectomy, early oral 1605 feeding (liquids on day one, liquid and soft food from day two to six) was shown to be not 1606 harmful than traditional delayed feeding.”
From ESPEN guideline on hospital nutrition (2021) · cites this paper as [216]
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ОЦЕНКА ЭФФЕТИВНОСТИ ЭНТЕРАЛЬНОГО ПИТАНИЯ ПРИ РАЗНЫХ ЗАБОЛЕВАНИЯХ У ПОСЛЕОПЕРАЦИОННЫХ БОЛЬНЫХ
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- Authors
- Willcutts, K. F., Chung, M. C., Erenberg, C. L., Finn, K. L., Schirmer, B. D., & Byham-Gray, L. D.
- Affiliations
- Rutgers, The State University of New Jersey (US)
- Venue
- Annals of Surgery
- Published
- 2016-07
- Volume
- 264
- Issue
- 1
- Pages
- 54-63
- ISSN
- 0003-4932 (ISSN-L)
- OpenAlex
- W2320169563
- Cited by
- 115
- References
- 36
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 13 · 2023: 15 · 2022: 15 · 2021: 19 · 2020: 12 · 2019: 7 · 2018: 8 · 2017: 8 · 2016: 5
- FWCI
- 1.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Surgery (publishedVersion)
- PubMed (publishedVersion)
- Rutgers University Community Repository (Rutgers University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Gastric Cancer Management and Outcomes
- Keywords
- early oral feeding, upper gastrointestinal surgery, anastomotic leakage, postoperative pneumonia, reoperation, hospital readmission, postoperative mortality, length of hospital stay, enhanced recovery after surgery
- MeSH terms
- Enteral Nutrition, Humans, Intubation, Gastrointestinal, Length of Stay, Postoperative Care, Risk Factors, Digestive System Surgical Procedures, Time Factors, Gastrointestinal Tract
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