Cited by 116Enhanced Recovery After SurgeryClinical Nutrition and GastroenterologyGastric Cancer Management and Outcomes

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Early Oral Feeding as Compared With Traditional Timing of Oral Feeding After Upper Gastrointestinal Surgery: A Systematic Review and Meta-analysis

Willcutts, Kate F., Chung, Mei C., Erenberg, Cheryl L., Finn, Kristen L., Schirmer, Bruce D., Byham-Gray, Laura D.·2016·Annals of Surgery

DOI 10.1097/sla.0000000000001644

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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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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)
ORCID: Chung, Mei C.
Finn, Kristen L.
Schirmer, Bruce D.
Byham-Gray, Laura D.
Venue: Annals of Surgery
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2016-07
Volume: 264
Issue: 1
Pages: 54-63
ISSN: 0003-4932 (ISSN-L)
DOI: 10.1097/sla.0000000000001644
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 › Oncology › 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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Early Oral Feeding as Compared With Traditional Timing of Oral Feeding After Upper Gastrointestinal Surgery: A Systematic Review and Meta-analysis

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