EARLY ORAL FEEDING POST-UPPER GASTROINTESTINAL TRACT RESECTION AND PRIMARY ANASTOMOSIS IN ONCOLOGY
Autor: | Taysa Machado Menezes, José Eduardo de Aguilar Nascimento, Diogo Oliveira Toledo, Lilian Pinheiro Lopes, Adhemar Longatto-Filho, Antônio Talvane Torres DE-Oliveira |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Male
medicine.medical_specialty Time Factors Neoplasias gástricas Esophageal Neoplasms RD1-811 Fistula medicine.medical_treatment RC799-869 Anastomosis Enteral administration Cohort Studies Feeding Methods 03 medical and health sciences Upper Gastrointestinal Tract 0302 clinical medicine Enteral Nutrition Intolerances Stomach Neoplasms Alimentação Esofagectomia Gastrectomy medicine Humans Gastrectomia Postoperative Care Mouth business.industry Wound dehiscence Feeding Anastomosis Surgical General Medicine Middle Aged Neoplasias esofágicas Diseases of the digestive system. Gastroenterology medicine.disease Surgery Esophagectomy Parenteral nutrition 030220 oncology & carcinogenesis Surgical oncology Feasibility Studies 030211 gastroenterology & hepatology Female Original Article business |
Zdroj: | ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) v.31 n.1 2018 ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) Colégio Brasileiro de Cirurgia Digestiva (CBCD) instacron:CBCD ABCD: Arquivos Brasileiros de Cirurgia Digestiva, Vol 31, Iss 1 (2018) Arquivos Brasileiros de Cirurgia Digestiva : ABCD |
Popis: | Background: The practice of starving patients in the immediate period after upper gastrointestinal surgery is widespread. Early oral intake has been shown to be feasible and may result in faster recovery and decrease length of hospital. Aim: To evaluate the feasibility and safety of oral nutrition on postoperative early feeding after upper gastrointestinal surgeries. Methods: Observational cohort design study with convenience retrospective data in both genders, over 18 years, undergoing to total gastrectomy and/or elective esophagectomy. They have received oral or enteral nutrition in less than 48 h after surgery, and among those who started with enteral nutrition, the oral feeding up to seven days. Results: The study was performed in 161 patients, 24 (14.9%) submitted to esophagectomy, 132 (82%) to total gastrectomy and five (3.1%) to esophagogastrectomy. Was observed good dietary acceptance and low percentage (29%) of gastrointestinal intolerances, more pronounced among those with enteral diet. Most of the patients did not present postoperative complications, 11 (6.8%) were reopened, five (3.1%) had fistulas, three (1.9%) wound dehiscence, three (1.9%) fistula more wound dehiscence and six (3.7%) other non-infectious complications. Conclusion: Early oral diet is safe and viable for patients undergoing upper gastrointestinal surgery. |
Databáze: | OpenAIRE |
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