Early versus traditional postoperative feeding in patients undergoing resectional gastrointestinal surgery: a meta-analysis
Article
Article Title | Early versus traditional postoperative feeding in patients undergoing resectional gastrointestinal surgery: a meta-analysis |
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ERA Journal ID | 13667 |
Article Category | Article |
Authors | Osland, Emma (Author), Yunus, Rossita Mohamad (Author), Khan, Shahjahan (Author) and Memon, Muhammed Ashraf (Author) |
Journal Title | Journal of Parenteral and Enteral Nutrition |
Journal Citation | 35 (4), pp. 473-487 |
Number of Pages | 15 |
Year | 2011 |
Place of Publication | Thousand Oaks, CA. United States |
ISSN | 0148-6071 |
1941-2444 | |
Digital Object Identifier (DOI) | https://doi.org/10.1177/0148607110385698 |
Web Address (URL) | http://pen.sagepub.com/content/35/4/473.full.pdf+html |
Abstract | Background: A meta-analysis evaluating surgical outcomes following nutritional provision provided proximal to the anastomosis within 24 hours of gastrointestinal surgery compared with traditional postoperative management was conducted. Methods: Databases were searched to identify randomized controlled trials comparing the outcomes of early and traditional postoperative feeding. Trials involving gastrointestinal tract resection followed by patients receiving nutritionally significant oral or enteral intake within 24 hours after surgery were included for analysis. Results: Fifteen studies involving a total of 1240 patients were analyzed. A statistically significant reduction (45%) in relative odds of total postoperative complications was seen in patients receiving early postoperative feeding (odds ratio [OR] 0.55; confidence interval [CI], 0.35 -0.87, P = .01). No effect of early feeding was seen with relation to anastomotic dehiscence (OR 0.75; CI, 0.39-1.4, P = .39), mortality (OR 0.71; CI, 0.32-1.56, P = .39), days to passage of flatus (weighted mean difference [WMD] -0.42; CI, -1.12 to 0.28, P = .23), first bowel motion (WMD -0.28; CI, -1.20 to 0.64, P = .55), or reduced length of stay (WMD -1.28; CI, -2.94 to 0.38, P = .13); however, the direction of clinical outcomes favored early feeding. Nasogastric tube reinsertion was less common in traditional feeding interventions (OR 1.48; CI, 0.93-2.35, P = .10). Conclusions: Early postoperative nutrition is associated with significant reductions in total complications compared with traditional postoperative feeding practices and does not negatively affect outcomes such as mortality, anastomotic dehiscence, resumption of bowel function, or hospital length of stay. |
Keywords | early feeding; hospitalization; meta-analysis; patient outcome; postoperative complications; randomized controlled trials; resectional gastrointestinal surgery; traditional feeding |
ANZSRC Field of Research 2020 | 320209. Gastroenterology and hepatology |
320226. Surgery | |
321099. Nutrition and dietetics not elsewhere classified | |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Byline Affiliations | Department of Health, Queensland |
Department of Mathematics and Computing | |
Institution of Origin | University of Southern Queensland |
https://research.usq.edu.au/item/q14v6/early-versus-traditional-postoperative-feeding-in-patients-undergoing-resectional-gastrointestinal-surgery-a-meta-analysis
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