Early Oral Feeding vs. Traditional Feeding in Patients Undergoing Elective Open Bowel Surgery—a Randomized Controlled Trial
Objective This prospective randomized controlled trial was conducted to compare the safety, tolerability and outcome of early oral feeding vs. traditional feeding in patients undergoing elective open bowel surgery. Methods A total of 120 consecutive patients who underwent elective open bowel surgeri...
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| Veröffentlicht in: | Journal of gastrointestinal surgery 2014-05, Vol.18 (5), p.1017-1023 |
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| creator | Pragatheeswarane, M. Muthukumarassamy, R. Kadambari, D. Kate, Vikram |
| description | Objective
This prospective randomized controlled trial was conducted to compare the safety, tolerability and outcome of early oral feeding vs. traditional feeding in patients undergoing elective open bowel surgery.
Methods
A total of 120 consecutive patients who underwent elective open bowel surgeries were randomized into either early feeding (
n
= 60) or traditional feeding group (
n
= 60). Patients in the early feeding group were started on oral fluids on post-operative day 1, while those in the traditional feeding group were started orals after the resolution of ileus. Patient characteristics, surgical procedures, co-morbidity, first flatus, first defecation, time of starting solid diet, complications and length of hospitalization were assessed between the two groups.
Results
The two groups were similar in demographic and baseline data. The number of days to first flatus (
p
|
| doi_str_mv | 10.1007/s11605-014-2489-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1523401301</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3296595271</sourcerecordid><originalsourceid>FETCH-LOGICAL-c438t-7555edccecec35d23c2ddbdd43c03d6d4849cac0e173b0ac596b2c18404eb1d73</originalsourceid><addsrcrecordid>eNp1kd1qFDEUx4NYbF19AG8k4I03U3PyMR-Xumy1UNiiW_BuyCSnS0o2WZOZygqCD-ET-iTNulWKIAnkcPLLP3B-hLwAdgqMNW8yQM1UxUBWXLZdBY_ICbSNqGTN68elZh1UXKnPx-RpzjeMQcOgfUKOeQEaruoT8n2hk9_RZdKeniFaF9b0Np_SVdLWjS6GB30X6KUeHYYx06tgMa3jvr3waEZ3i3S5xUDfxa_o6acprTHtfv34qelHHWzcuG9o6TyGMUXvS7lKTvtn5Oha-4zP788ZuTpbrOYfqovl-_P524vKSNGOVaOUQmsMliWU5cJwawdrpTBM2NrKVnZGG4bQiIFpo7p64AZaySQOYBsxI68PudsUv0yYx37jskHvdcA45R4UF5KBKHtGXv2D3sQplTH8pqDtGsnaQsGBMinmnPC63ya30WnXA-v3bvqDm7646fdu-n3yy_vkadig_fvij4wC8AOQy1Uo83vw9X9T7wAyHJuQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1521897408</pqid></control><display><type>article</type><title>Early Oral Feeding vs. Traditional Feeding in Patients Undergoing Elective Open Bowel Surgery—a Randomized Controlled Trial</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Pragatheeswarane, M. ; Muthukumarassamy, R. ; Kadambari, D. ; Kate, Vikram</creator><creatorcontrib>Pragatheeswarane, M. ; Muthukumarassamy, R. ; Kadambari, D. ; Kate, Vikram</creatorcontrib><description>Objective
This prospective randomized controlled trial was conducted to compare the safety, tolerability and outcome of early oral feeding vs. traditional feeding in patients undergoing elective open bowel surgery.
Methods
A total of 120 consecutive patients who underwent elective open bowel surgeries were randomized into either early feeding (
n
= 60) or traditional feeding group (
n
= 60). Patients in the early feeding group were started on oral fluids on post-operative day 1, while those in the traditional feeding group were started orals after the resolution of ileus. Patient characteristics, surgical procedures, co-morbidity, first flatus, first defecation, time of starting solid diet, complications and length of hospitalization were assessed between the two groups.
Results
The two groups were similar in demographic and baseline data. The number of days to first flatus (
p
< 0.0001), first defecation (
p
< 0.0001), length of post-operative stay (
p
= 0.011) and time of starting solid diet (
p
< 0.0001) were significantly earlier in the early feeding group. Anastomotic leak, wound infection, fever, vomiting, abdominal distention and other complications were similar. Multivariate analysis showed that patients in the early oral feeding group were discharged 3.4 days earlier (
p
= 0.037).
Conclusion
In patients undergoing elective open bowel surgeries, early post-operative feeding is safe, is well tolerated and reduces the length of hospitalization.</description><identifier>ISSN: 1091-255X</identifier><identifier>EISSN: 1873-4626</identifier><identifier>DOI: 10.1007/s11605-014-2489-1</identifier><identifier>PMID: 24627256</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Abdomen ; Adult ; Anastomotic Leak - etiology ; Beverages ; Carcinoma - surgery ; Clinical trials ; Defecation ; Defecation - physiology ; Elective Surgical Procedures - adverse effects ; Enteral Nutrition - adverse effects ; Enteral Nutrition - methods ; Female ; Flatulence - physiopathology ; Food ; Gastroenterology ; Hospitalization ; Humans ; Ileus - etiology ; Ileus - physiopathology ; Infections ; Intestinal Neoplasms - surgery ; Laparoscopy ; Length of Stay ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Morbidity ; Nutrition research ; Original Article ; Ostomy ; Parenteral nutrition ; Patients ; Recovery of Function - physiology ; Statistical analysis ; Surgery ; Surgical anastomosis ; Surgical Wound Infection - etiology ; Time Factors ; Vomiting ; Vomiting - etiology</subject><ispartof>Journal of gastrointestinal surgery, 2014-05, Vol.18 (5), p.1017-1023</ispartof><rights>The Society for Surgery of the Alimentary Tract 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-7555edccecec35d23c2ddbdd43c03d6d4849cac0e173b0ac596b2c18404eb1d73</citedby><cites>FETCH-LOGICAL-c438t-7555edccecec35d23c2ddbdd43c03d6d4849cac0e173b0ac596b2c18404eb1d73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11605-014-2489-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11605-014-2489-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24627256$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pragatheeswarane, M.</creatorcontrib><creatorcontrib>Muthukumarassamy, R.</creatorcontrib><creatorcontrib>Kadambari, D.</creatorcontrib><creatorcontrib>Kate, Vikram</creatorcontrib><title>Early Oral Feeding vs. Traditional Feeding in Patients Undergoing Elective Open Bowel Surgery—a Randomized Controlled Trial</title><title>Journal of gastrointestinal surgery</title><addtitle>J Gastrointest Surg</addtitle><addtitle>J Gastrointest Surg</addtitle><description>Objective
This prospective randomized controlled trial was conducted to compare the safety, tolerability and outcome of early oral feeding vs. traditional feeding in patients undergoing elective open bowel surgery.
Methods
A total of 120 consecutive patients who underwent elective open bowel surgeries were randomized into either early feeding (
n
= 60) or traditional feeding group (
n
= 60). Patients in the early feeding group were started on oral fluids on post-operative day 1, while those in the traditional feeding group were started orals after the resolution of ileus. Patient characteristics, surgical procedures, co-morbidity, first flatus, first defecation, time of starting solid diet, complications and length of hospitalization were assessed between the two groups.
Results
The two groups were similar in demographic and baseline data. The number of days to first flatus (
p
< 0.0001), first defecation (
p
< 0.0001), length of post-operative stay (
p
= 0.011) and time of starting solid diet (
p
< 0.0001) were significantly earlier in the early feeding group. Anastomotic leak, wound infection, fever, vomiting, abdominal distention and other complications were similar. Multivariate analysis showed that patients in the early oral feeding group were discharged 3.4 days earlier (
p
= 0.037).
Conclusion
In patients undergoing elective open bowel surgeries, early post-operative feeding is safe, is well tolerated and reduces the length of hospitalization.</description><subject>Abdomen</subject><subject>Adult</subject><subject>Anastomotic Leak - etiology</subject><subject>Beverages</subject><subject>Carcinoma - surgery</subject><subject>Clinical trials</subject><subject>Defecation</subject><subject>Defecation - physiology</subject><subject>Elective Surgical Procedures - adverse effects</subject><subject>Enteral Nutrition - adverse effects</subject><subject>Enteral Nutrition - methods</subject><subject>Female</subject><subject>Flatulence - physiopathology</subject><subject>Food</subject><subject>Gastroenterology</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Ileus - etiology</subject><subject>Ileus - physiopathology</subject><subject>Infections</subject><subject>Intestinal Neoplasms - surgery</subject><subject>Laparoscopy</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Nutrition research</subject><subject>Original Article</subject><subject>Ostomy</subject><subject>Parenteral nutrition</subject><subject>Patients</subject><subject>Recovery of Function - physiology</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Surgical anastomosis</subject><subject>Surgical Wound Infection - etiology</subject><subject>Time Factors</subject><subject>Vomiting</subject><subject>Vomiting - etiology</subject><issn>1091-255X</issn><issn>1873-4626</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kd1qFDEUx4NYbF19AG8k4I03U3PyMR-Xumy1UNiiW_BuyCSnS0o2WZOZygqCD-ET-iTNulWKIAnkcPLLP3B-hLwAdgqMNW8yQM1UxUBWXLZdBY_ICbSNqGTN68elZh1UXKnPx-RpzjeMQcOgfUKOeQEaruoT8n2hk9_RZdKeniFaF9b0Np_SVdLWjS6GB30X6KUeHYYx06tgMa3jvr3waEZ3i3S5xUDfxa_o6acprTHtfv34qelHHWzcuG9o6TyGMUXvS7lKTvtn5Oha-4zP788ZuTpbrOYfqovl-_P524vKSNGOVaOUQmsMliWU5cJwawdrpTBM2NrKVnZGG4bQiIFpo7p64AZaySQOYBsxI68PudsUv0yYx37jskHvdcA45R4UF5KBKHtGXv2D3sQplTH8pqDtGsnaQsGBMinmnPC63ya30WnXA-v3bvqDm7646fdu-n3yy_vkadig_fvij4wC8AOQy1Uo83vw9X9T7wAyHJuQ</recordid><startdate>20140501</startdate><enddate>20140501</enddate><creator>Pragatheeswarane, M.</creator><creator>Muthukumarassamy, R.</creator><creator>Kadambari, D.</creator><creator>Kate, Vikram</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20140501</creationdate><title>Early Oral Feeding vs. Traditional Feeding in Patients Undergoing Elective Open Bowel Surgery—a Randomized Controlled Trial</title><author>Pragatheeswarane, M. ; Muthukumarassamy, R. ; Kadambari, D. ; Kate, Vikram</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-7555edccecec35d23c2ddbdd43c03d6d4849cac0e173b0ac596b2c18404eb1d73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Abdomen</topic><topic>Adult</topic><topic>Anastomotic Leak - etiology</topic><topic>Beverages</topic><topic>Carcinoma - surgery</topic><topic>Clinical trials</topic><topic>Defecation</topic><topic>Defecation - physiology</topic><topic>Elective Surgical Procedures - adverse effects</topic><topic>Enteral Nutrition - adverse effects</topic><topic>Enteral Nutrition - methods</topic><topic>Female</topic><topic>Flatulence - physiopathology</topic><topic>Food</topic><topic>Gastroenterology</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Ileus - etiology</topic><topic>Ileus - physiopathology</topic><topic>Infections</topic><topic>Intestinal Neoplasms - surgery</topic><topic>Laparoscopy</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Nutrition research</topic><topic>Original Article</topic><topic>Ostomy</topic><topic>Parenteral nutrition</topic><topic>Patients</topic><topic>Recovery of Function - physiology</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Surgical anastomosis</topic><topic>Surgical Wound Infection - etiology</topic><topic>Time Factors</topic><topic>Vomiting</topic><topic>Vomiting - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pragatheeswarane, M.</creatorcontrib><creatorcontrib>Muthukumarassamy, R.</creatorcontrib><creatorcontrib>Kadambari, D.</creatorcontrib><creatorcontrib>Kate, Vikram</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of gastrointestinal surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pragatheeswarane, M.</au><au>Muthukumarassamy, R.</au><au>Kadambari, D.</au><au>Kate, Vikram</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early Oral Feeding vs. Traditional Feeding in Patients Undergoing Elective Open Bowel Surgery—a Randomized Controlled Trial</atitle><jtitle>Journal of gastrointestinal surgery</jtitle><stitle>J Gastrointest Surg</stitle><addtitle>J Gastrointest Surg</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>18</volume><issue>5</issue><spage>1017</spage><epage>1023</epage><pages>1017-1023</pages><issn>1091-255X</issn><eissn>1873-4626</eissn><abstract>Objective
This prospective randomized controlled trial was conducted to compare the safety, tolerability and outcome of early oral feeding vs. traditional feeding in patients undergoing elective open bowel surgery.
Methods
A total of 120 consecutive patients who underwent elective open bowel surgeries were randomized into either early feeding (
n
= 60) or traditional feeding group (
n
= 60). Patients in the early feeding group were started on oral fluids on post-operative day 1, while those in the traditional feeding group were started orals after the resolution of ileus. Patient characteristics, surgical procedures, co-morbidity, first flatus, first defecation, time of starting solid diet, complications and length of hospitalization were assessed between the two groups.
Results
The two groups were similar in demographic and baseline data. The number of days to first flatus (
p
< 0.0001), first defecation (
p
< 0.0001), length of post-operative stay (
p
= 0.011) and time of starting solid diet (
p
< 0.0001) were significantly earlier in the early feeding group. Anastomotic leak, wound infection, fever, vomiting, abdominal distention and other complications were similar. Multivariate analysis showed that patients in the early oral feeding group were discharged 3.4 days earlier (
p
= 0.037).
Conclusion
In patients undergoing elective open bowel surgeries, early post-operative feeding is safe, is well tolerated and reduces the length of hospitalization.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>24627256</pmid><doi>10.1007/s11605-014-2489-1</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1091-255X |
| ispartof | Journal of gastrointestinal surgery, 2014-05, Vol.18 (5), p.1017-1023 |
| issn | 1091-255X 1873-4626 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1523401301 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Abdomen Adult Anastomotic Leak - etiology Beverages Carcinoma - surgery Clinical trials Defecation Defecation - physiology Elective Surgical Procedures - adverse effects Enteral Nutrition - adverse effects Enteral Nutrition - methods Female Flatulence - physiopathology Food Gastroenterology Hospitalization Humans Ileus - etiology Ileus - physiopathology Infections Intestinal Neoplasms - surgery Laparoscopy Length of Stay Male Medicine Medicine & Public Health Middle Aged Morbidity Nutrition research Original Article Ostomy Parenteral nutrition Patients Recovery of Function - physiology Statistical analysis Surgery Surgical anastomosis Surgical Wound Infection - etiology Time Factors Vomiting Vomiting - etiology |
| title | Early Oral Feeding vs. Traditional Feeding in Patients Undergoing Elective Open Bowel Surgery—a Randomized Controlled Trial |
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