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Cited by 111Enhanced Recovery After SurgeryClinical Nutrition and GastroenterologyGastrointestinal motility and disorders

A randomized controlled trial evaluating early versus traditional oral feeding after colorectal surgery

Open access
Dag, Ahmet, Colak, Tahsin, Turkmenoglu, Ozgur, Gundogdu, Ramazan, Aydin, Suha·2011·Clinics
DOI 10.1590/s1807-59322011001200001PMC PMC3226591
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Abstract

OBJECTIVE: This prospective randomized clinical study was conducted to evaluate the safety and tolerability of early oral feeding after colorectal operations. METHODS: A total of 199 patients underwent colorectal surgery and were randomly assigned to early feeding (n = 99) or a regular diet (n = 100). Patients' characteristics, diagnoses, surgical procedures, comorbidity, bowel movements, defecation, nasogastric tube reinsertion, time of tolerance of solid diet, complications, and length of hospitalization were assessed. RESULTS: The two groups were similar in terms of gender, age, diagnosis, surgical procedures, and comorbidity. In the early feeding group, 85.9% of patients tolerated the early feeding schedule. Bowel movements (1.7±0.89 vs. 3.27±1.3), defecation (3.4±0.77 vs. 4.38±1.18) and time of tolerance of solid diet (2.48±0.85 vs. 4.77±1.81) were significantly earlier in the early feeding group. There was no change between the groups in terms of nasogastric tube reinsertion, overall complication or anastomotic leakage. Hospitalization (5.55±2.35 vs. 9.0±6.5) was shorter in the early feeding group. CONCLUSIONS: The present study indicated that early oral feeding after elective colorectal surgery was not only well tolerated by patients but also affected the postoperative outcomes positively. Early postoperative feeding is safe and leads to the early recovery of gastrointestinal functions.

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  • Another meta-analysis revealed that early feeding reduced the mean length of stay.

    “and the mean length of stay [211].”

    From ESPEN guideline on hospital nutrition (2021) · cites this paper as [211]

    The Results report a significantly shorter mean hospital stay with early feeding (5.55 versus 9.00 days). However, the cited paper is a randomized controlled trial, not a meta-analysis, so it does not support that description of the evidence. (LLM, conf=0.91)

    Experimental — accuracy not yet measured

  • Another meta-analysis revealed that early feeding reduced the risk of any type of infection.

    “Another meta-analysis revealed that early feeding reduced the risk of any type of 1589 infection”

    From ESPEN guideline on hospital nutrition (2021) · cites this paper as [211]

    The Introduction suggests that early oral intake may reduce sepsis risk, which supports a narrower, hedged version of the infection claim. It does not report a meta-analysis finding that early feeding reduced the risk of any type of infection. This paper is itself a randomized trial, and its Results found no significant difference in overall postoperative complications. (LLM, conf=0.83)

    Experimental — accuracy not yet measured

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Cites

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Research works printed but not linked: 31

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Cited by

Sorted by citations

Authors
Dag, A., Colak, T., Turkmenoglu, O., Gundogdu, R., & Aydin, S.
Venue
Clinics
Publisher
Elsevier BV
Published
2011-12
Volume
66
Issue
12
Pages
2001-2005
ISSN
1807-5932 (ISSN-L)
DOI
10.1590/s1807-59322011001200001
PMC
PMC3226591
OpenAlex
W2089758339
Cited by
111
References
0
Citations by year
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FWCI
4.26
Type
journal article
Language
en
Open access
Licence
Locations
  • Clinics (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Americanae (AECID Library) (publishedVersion, other-oa)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
Topics
  • Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
Keywords
early oral feeding, colorectal surgery, postoperative diet, gastrointestinal function recovery, defecation, anastomotic leakage, length of hospital stay, postoperative complications
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Eating, Enteral Nutrition, Female, Humans, Male, Middle Aged, Prospective Studies, Time Factors, Colorectal Neoplasms, Elective Surgical Procedures, Recovery of Function, Young Adult

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