Early versus Traditional Postoperative Oral Feeding in Patients Undergoing Elective Colorectal Surgery: A Meta-Analysis of Randomized Clinical Trials
Abstract
Background The safety and effectiveness of early oral feeding after colorectal surgery has not been determined. We performed a meta-analysis to evaluate surgical outcomes following early oral feeding compared with traditional oral feeding in patients undergoing elective colorectal surgery. Methods MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials were searched to identify randomized clinical trials comparing the outcomes following early oral feeding versus traditional oral feeding in patients undergoing elective colorectal surgery. The trials must have reported at least one of the following end points: anastomotic dehiscence, pneumonia, wound infection, nasogastric tube reinsertion, vomiting, mortality, length of hospital stay, hospital costs, and quality of life. Results Seven trials, which included a total of 587 patients, met our inclusion criteria. Compared with traditional oral feeding, early oral feeding reduced the length of hospital stay (weighted mean difference -1.58 days; 95% CI -2.77 to -0.39; p = 0.009) and the total postoperative complications (relative risk 0.70; 95% CI 0.50-0.98; p = 0.04). There were no significant differences in the risk of anastomotic dehiscence, pneumonia, wound infection, rate of nasogastric tube reinsertion, vomiting, or mortality. Conclusions Early oral feeding is safe and effective in patients undergoing elective colorectal surgery.
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Two recent meta-analyses showed that early postoperative oral feeding is associated with significant reductions in total complications compared with traditional postoperative feeding practices.
“Two recent meta-analyses showed that early postoperative 1585 oral feeding is associated with significant reductions in total complications compared with 1586 traditional postoperative feeding practices”
From ESPEN guideline on hospital nutrition (2021) · cites this paper as [209]
Early postoperative oral feeding does not negatively affect outcomes such as mortality, anastomotic dehiscence, resumption of bowel function, or hospital length of stay.
“and does not negatively affect outcomes such as 1587 mortality, anastomotic dehiscence, resumption of bowel function, or hospital length of stay 1588 [209, 210].”
From ESPEN guideline on hospital nutrition (2021) · cites this paper as [209]
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- Authors
- Zhuang, C.-L., Ye, X.-Z., Zhang, C.-J., Dong, Q.-T., Chen, B.-C., & Yu, Z.
- Affiliations
- Wenzhou Medical University (CN)
- ORCID
- Zhuang, Cheng-Le
- Venue
- Digestive Surgery
- Publisher
- S. Karger AG
- Published
- 2013
- Volume
- 30
- Issue
- 3
- Pages
- 225-232
- ISSN
- 0253-4886 (ISSN-L)
- 1421-9883
- OpenAlex
- W1984974880
- Cited by
- 164
- References
- 32
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 13 · 2023: 13 · 2022: 15 · 2021: 20 · 2020: 15 · 2019: 23 · 2018: 14 · 2017: 11 · 2016: 11 · 2015: 11 · 2014: 7 · 2013: 1 · 2012: 1
- FWCI
- 1.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Digestive Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Health Sciences › Medicine › Surgery › Surgical site infection prevention
- Keywords
- early oral feeding, elective colorectal surgery, length of hospital stay, postoperative complications, anastomotic leakage, pneumonia, wound infection, hospital costs, quality of life
- MeSH terms
- Colon, Enteral Nutrition, Humans, Length of Stay, Pneumonia, Postoperative Care, Postoperative Period, Rectum, Surgical Wound Infection, Time Factors, Vomiting, Randomized Controlled Trials as Topic, Elective Surgical Procedures, Hospital Costs, Anastomotic Leak
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