Effect Of Early Oral Feeding Research Articles

The Effects of Early Oral Feeding Within 48hrs After Living Donor Liver Transplantation: The Retrospective Review of 117 Cases.

BACKGROUND The importance of nutritional support in posttransplant patients is known and the advantages of oral feeding over parenteral feeding has been accepted widely, therefore the need of starting for oral feeding in early postoperative period has emerged. However, there are few studies about the difference of surgical outcomes according to the starting point of oral feeding. METHODS We enrolled 117 cases that underwent living donor liver transplantation since 2008 and divided them into two groups according to the starting point of oral feeding after surgery (within 48hrs vs. after 72hrs), and reviewed surgical outcomes and perioperative morbidities retrospectively. RESULTS In this study, 50 patients had early oral feeding (mean time 22.9 h) and 67 had late oral feeding (mean time 82.3 h). Both groups were comparable in terms of demographics and operative details. Our results showed shorter hospital stay of ICU (4.9 vs. 6.8 day, p=0.00) and lower incidence of postoperative medical complications (20.0 vs. 52.2%, p=0.00) in the early feeding group than the late feeding group. Median survival time was 23.3±14.1 months in the early feeding group and there was no statistical difference in 1-, 3-, and 5-year survivals between two groups. CONCLUSIONS The early oral feeding within 48hrs was associated with early postoperative recovery and reduced postoperative morbidities though it had no influence on survival rates. Therefore this retrospective study supports that the starting of early oral feeding within 48hrs should be considered in liver transplantation patients.

Effect of early oral feeding on short-term outcome of patients receiving laparoscopic distal gastrectomy: A retrospective cohort study

BackgroundTo evaluate the effect of early oral feeding on postoperative short-term outcome of gastric cancer patients receiving laparoscopic distal gastrectomy. MethodsFrom Oct 1, 2011 to Mar 1, 2013, 84 consecutive patients with gastric cancer were involved in this retrospective study. Patients received either early oral feeding (early feeding group) or not (control group) after laparoscopic distal gastrectomy. Details concerning the postoperative outcomes and the quality of life questionnaires were collected and compared. ResultsTotally 40 patients were involved in the early feeding group and 44 in the control group. Demographic data were comparable in both groups. The duration of hospital stay (6.28 ± 1.26 VS 7.69 ± 1.53, P = 0.048) and time until flatus (2.06 ± 1.47 VS 3.56 ± 1.04, P = 0.044) in early feeding group were significantly less than that in control group. Furthermore, the score of fatigue scale in early feeding group on the seventh postoperative day was significantly less than that in control group (33.9 ± 12.1 VS 45.1 ± 10.7, P = 0.041). ConclusionsEarly oral feeding could lead to a significant improvement of the short-term benefits for patients receiving laparoscopic distal gastrectomy.

Clinical feasibility and nutritional effects of early oral feeding after pancreaticoduodenectomy

Backgrounds/AimsPancreaticoduodenctomy (PD) is associated with high rates of postoperative morbidity and mortality. Although many studies have shown that early postoperative enteral nutrition improves postoperative outcomes, limited clinical information is available on postoperative early oral feeding (EOF) after PD. The aim of this study was to evaluate the clinical feasibility, safety, and nutritional effects of EOF after PD.MethodsClinical outcomes were investigated in 131 patients who underwent PD between 2003 and 2013, including 81 whose oral feeding was commenced within 48 hours (EOF group) and 50 whose oral feeding was commenced after resumption of bowel movements (traditional oral feeding [TOF] group). Postoperative complications, energy intake, and length of stay (LOS) were reviewed.ResultsDemographic factors were similar in the two groups. The EOF group had a significantly shorter LOS (25.9±8.5 days vs. 32.3±16.3 days; p=0.01) than the TOF group. The rates of anastomotic leak (1.2% vs. 16%, p=0.00) and reoperation (3.7% vs. 20%, p=0.01) were significantly lower in the EOF group. In the clinically acute phase from postoperative day 1 to day 5, the mean daily calorie intake (847.0 kcal vs. 745.6 kcal; p=0.04) and mean daily protein intake (42.2 g vs. 31.9 g; p=0.00) in the EOF group were significantly higher than that in the TOF group.ConclusionsPostoperative EOF is a clinically safe, feasible, and effective method of nutritional support after PD.

The effect of early oral feeding compared to standard oral feeding following total laryngectomy: a systematic review

Review question/objective The objective of this review is to identify and synthesise the best available evidence on effects of early feeding compared to standard oral feeding following total laryngectomy on the incidence of pharyngocutaneous fistula and hospital length of stay.More specifically, the review questions are: What is the effect of early oral feeding following total laryngectomy on the incidence of post-operative pharyngocutaneous fistula? What is the effect of early oral feeding following total laryngectomy on hospital length of stay? Inclusion criteria Types of participants This review will consider studies that include adults (18 years old or older) regardless of gender and co-morbidities who have commenced early oral feeding following total laryngectomy surgery. Studies focussing on enteral feeding will be excluded from this review. Types of interventions This review will consider studies that evaluate oral feeding following total laryngectomy. The intervention of interest is early oral feeding defined as oral intake in the first 6 days post-operatively. The comparator is standard care and is defined as oral intake from day 7 onwards. For the purpose of this review, oral feeding will include either food or liquid taken by mouth regardless of quantity or consistency. Oral feeding may be taken in conjunction with non oral nutrition. Types of outcomes This review will consider studies that include the following outcome measure: incidence of pharyngocutaneous fistula. In the context of this review, the term incidence refers to the number of new cases of pharyngocutaneous fistula within 6 months following total laryngectomy surgery. A further outcome may include but will not be limited to hospital length of stay measured as days of hospital inpatient admission.

Early Oral Feeding in Pediatric Intestinal Anastomosis.

A prospective nonrandomized study of 31 children aged <16years over a period of 14months was conducted to evaluate the effects of early oral feeding (EOF) in children with intestinal anastomosis. Patients undergoing elective or emergency intestinal anastomosis below the ligament of Trietz with no contamination were included while contaminated cases and neonatal atresias were excluded. First feed was the direct oral feed started within 24h, usually the morning after surgery. Liquid feeds were started initially and increased at 4hourly increments to appropriate feed for age. Time to full feeds was recorded. Patients were monitored for vomiting, abdominal distension, and signs of leak. Time to first stool and length of hospital stay were recorded. Median age of patient was 12months. Mean time to first feed was 16h, and mean time to full feeds was 36h. Four of the 31 patients had delayed tolerance to feed, either due to vomiting or distension, which was transient and resolved spontaneously in three patients and due to prolonged ileus in the fourth patient. None of the patients had leaks. Most of the patients were discharged by postoperative day 3 (83%). Early enteral feeding in pediatric intestinal anastomosis can be safely started without looking for traditional markers of return of bowel activity. It lowers hospital stay with no adverse effects. Generalization of this concept to selected emergency and neonatal surgeries can be considered, but needs further randomized control trial to validate.

Effect of early oral enteral nutrition on clinical outcomes after colorectal cancer surgery

To investigate the effect of early oral feeding with enteral nutrition after surgery on clinical outcomes in patients with colorectal cancer. Forty-eight patients with colorectal cancer undergoing elective operation between January 2012 and May 2012 were randomly divided into study group (n=24) and control group (n=24). Patients in the group were given small amount of water several times and enteral nutrition early after surgery. Patients in the control group received conventional postoperative care protocol. Nutritional status, immune function, time of flatus, postoperative hospital stay, medical cost and incidence of complications between the two groups were compared. As compared to the control group, nutritional status and immune function in the study group were significantly better (P<0.05). In the study group, time to flatus [(54.3±11.9) h vs. (65.7±10.0) h, P<0.05] and postoperative hospital stay [(5.4±1.1) d vs. (7.1±1.4) d, P<0.05] were significantly shorter, and medical cost [(36.3±6.4) thousand RMB vs. (42.8±4.3) thousand RMB, P<0.05] was significantly less as compared with the control group. No difference of the complication incidence was found [12.5% (3/24) vs. 16.7% (4/24), P>0.05]. Early oral feeding with enteral nutrition after surgery can improve the nutritional status and immune function, and accelerate the recovery of patients with colorectal cancer.

Effects of early oral feeding on gastrointestinal functions during postpartum after cesarean section: systematic review and meta-analysis

Effects of early oral feeding on gastrointestinal functions during postpartum after cesarean section: systematic review and meta-analysis

Effects of early oral feeding on relapse and symptoms of upper gastrointestinal bleeding in peptic ulcer disease

Peptic ulcer is the most common cause of upper gastrointestinal bleeding (GIB) and nutritional support is a helpful strategy in malnutrition prevention during treatment. As early oral feeding in patients with GIB may shorten hospital stay and decrease costs and risk of infection, the present study was carried out to investigate the effects of early oral feeding on relapse and symptoms of upper GIB. The present clinical trial was conducted with the participation of 100 patients with upper GIB due to gastric or duodenum ulcer at Emam Reza University Hospital in Tabriz. Subjects were randomly allocated to two groups (n=50). In one group, patients received oral diet from day 1 and in other group patients were nil by mouth until day 3 and then received oral diet. Endoscopic and clinical findings of patients were recorded from day 1 to 3. The mean age of subjects was 57.6±1.7 and 63% were male. Sclerotherapy was used in most cases as a hemostasis treatment. There was no significant difference in laboratory findings and rebleeding between the two groups. In the group with early oral feeding, the time of hospital stay was significantly shorter than in the control group (P<0.001). Although early oral feeding had no significant effects on electrolyte balance and treatment outcomes in patients with upper GIB who were treated with endoscopic hemostasis, it could effectively shorten the hospital stay. Consequently, early oral feeding in these patients enables early discharge and reduces the costs of treatment.

The effect of early oral feeding compared to standard oral feeding following total laryngectomy: a systematic review.

Review question/objective The objective of this review is to identify and synthesise the best available evidence on effects of early feeding compared to standard oral feeding following total laryngectomy on the incidence of pharyngocutaneous fistula and hospital length of stay.More specifically, the review questions are: What is the effect of early oral feeding following total laryngectomy on the incidence of post-operative pharyngocutaneous fistula? What is the effect of early oral feeding following total laryngectomy on hospital length of stay? Inclusion criteria Types of participants This review will consider studies that include adults (18 years old or older) regardless of gender and co-morbidities who have commenced early oral feeding following total laryngectomy surgery. Studies focussing on enteral feeding will be excluded from this review. Types of interventions This review will consider studies that evaluate oral feeding following total laryngectomy. The intervention of interest is early oral feeding defined as oral intake in the first 6 days post-operatively. The comparator is standard care and is defined as oral intake from day 7 onwards. For the purpose of this review, oral feeding will include either food or liquid taken by mouth regardless of quantity or consistency. Oral feeding may be taken in conjunction with non oral nutrition. Types of outcomes This review will consider studies that include the following outcome measure: incidence of pharyngocutaneous fistula. In the context of this review, the term incidence refers to the number of new cases of pharyngocutaneous fistula within 6 months following total laryngectomy surgery. A further outcome may include but will not be limited to hospital length of stay measured as days of hospital inpatient admission.

The effect of early oral feeding compared to standard oral feeding following total laryngectomy: a systematic review

The effect of early oral feeding compared to standard oral feeding following total laryngectomy: a systematic review

Effect of early oral feeding after gastric cancer surgery: A result of randomized clinical trial

To date, early oral feeding after gastrectomy for gastric cancer has not been accepted universally. Therefore, we performed a randomized clinical trial to determine whether early oral feeding after curative surgery for gastric cancer can be tolerated and whether it has an effect on recovery. From July 2008 to February 2009, 58 patients were enrolled and 4 were excluded according to set criteria. The patients in the early feeding group began a liquid diet on the second postoperative day, and then were fed a soft diet from the third day until the day they were discharged. The patients in the control group began a liquid diet on the fourth day. The primary endpoint of this study was the duration of postoperative hospitalization. No significant differences were found in the clinico-operative characteristics between the 2 groups. The duration of hospitalization (P = .044) and time until flatus (P = .036) in the early group were decreased significantly. With regard to the rates of morbidity, cost of hospitalization, postoperative symptoms, and pain scales, no significant differences were found. The quality of life scores were decreased significantly at the fatigue (P = .007) and nausea and vomiting (P = .048) immediately after operation in the early feeding group. Early oral feeding after gastric cancer surgery is feasible and can result in shorter hospitalization and improvements in several aspects of quality of life in the early postoperative period.

Effects of Early Oral Feeding on Surgical Outcomes and Recovery After Curative Surgery for Gastric Cancer: Pilot Study Results

The aim of the present study was to determine whether early oral feeding after curative resection for gastric cancer can be tolerated and whether it has an effect on recovery. From September 2007 to January 2008, we provided early postoperative oral feeding for 35 patients who underwent curative distal gastrectomy for gastric cancer. These patients began a liquid diet on the second postoperative day (POD), followed by a soft diet beginning on the third POD until they were discharged. From April to August 2007, we enrolled 31 patients with a conventional diet schedule as a control group. We compared the clinicopathologic features and surgical outcomes, including morbidity, laboratory results, and hospitalized days between the two groups. There were no significant differences in the clinical and operative factors between the two groups. Although there was no difference in the morbidity rate (P = 0.331), the early group was hospitalized for fewer days (8.03 +/- 1.43 vs. 9.97 +/- 2.07 days; P < 0.001) and had a faster onset of flatus (1.96 +/- 0.58 vs. 2.97 +/- 0.66 day; P < 0.001) than the control group. The laboratory findings showed that the early feeding group tended to have a lymphocyte count that recovered faster than the control group, although the difference was not statistically significant. Early oral feeding following a gastrectomy for gastric cancer is feasible and can result in faster recovery of bowel function and a shorter hospitalization.

Randomized clinical trial of the impact of early enteral feeding on postoperative ileus and recovery

Postoperative convalescence is mainly determined by the extent and duration of postoperative ileus. This randomized clinical trial evaluated the effects of early oral feeding on functional gastrointestinal recovery and quality of life. One hundred and twenty-eight patients undergoing elective open colorectal or abdominal vascular surgery participated in the trial. Of these, 67 were randomized to a conventional return to diet, and 61 to a regimen allowing resumption of an oral diet as soon as tolerated (free diet group). Reinsertion of a nasogastric tube was necessary in 20 per cent of the free diet group and 10 per cent of the conventional group (P = 0.213). The complication rate was similar for both groups, as was return of gastrointestinal function. A normal diet was tolerated after a median of 2 days in the free diet group compared with 5 days in the conventional group (P < 0.001). Quality of life scores were similar in both groups. Early resumption of oral intake does not diminish the duration of postoperative ileus or lead to a significantly increased rate of nasogastric tube reinsertion. Tolerance of oral diet is not influenced by gastrointestinal functional recovery. As there is no reason to withhold oral intake following open colorectal or abdominal vascular surgery, postoperative management should include early resumption of diet.

Early Feeding after Colorectal Surgery. Preliminary Results

Thirty three patients were placed under early oral feeding after elective colorectal surgery. There were 15 male and 18 female patients, mean age: 52 years. Nasogastric tube was removed as soon as they were widely awake, or on the morning following the afternoon operations. Oral feeding was resumed 4 hours later, and the first meal consisted in a slight solid meal. There was no postoperative mortality or significant morbidity. Liquid and solid oral intakes were resumed 18 and 24 hours respectively after the operation. Tolerance was perfect in 22 patients (66%), good (slight complaints) in 16%, and was considered as fair or bad in the last six cases. Intestinal transit was observed after a median period of 2 days. Tube insertion rate was 12%. No adverse effect on the anastomoses was noted. Data from the literature confirm that early feeding is tolerable and safe after open colorectal surgery. More patients should be included in this protocol to take benefit of the physiological effects of early oral feeding.

The effect of early oral feeding versus early oral starvation on the course of infantile diarrhea

<h2>Summary</h2> Data have been presented on 115 patients with infantile diarrhea studied at the University Children's Clinic, Bratislava, Czechoslovakia. Of this group, twelve died, a mortality of 10.4 per cent. The remaining 103 patients were divided alternately into those fed full calories at the onset and those on therapeutic oral starvation. The duration of the diarrhea was not prolonged under the feeding regime. There was a more prompt and consistent weight gain in those who were fed, in spite of the larger volume of stool excreted. The evidence presented by this clinical study substantiates the metabolicfindings of the preceding paper that it is advantageous to feed the infant early with full calories in diarrhea rather than to follow the conventional treatment of oral starvation.