Feasibility and outcomes of early oral feeding after total gastrectomy for cancer

doi:10.1007/s11605-014-2720-0

Feasibility and outcomes of early oral feeding after total gastrectomy for cancer

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Feasibility and outcomes of early oral feeding after total gastrectomy for cancer

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dc.contributor.author	Sierżęga, Marek [SAP20002198]	pl
dc.contributor.author	Choruz, Ryszard	pl
dc.contributor.author	Pietruszka, Szymon [SAP20014132]	pl
dc.contributor.author	Kulig, Piotr	pl
dc.contributor.author	Kołodziejczyk, Piotr [SAP20001572]	pl
dc.contributor.author	Kulig, Jan [SAP20000010]	pl
dc.date.accessioned	2020-01-17T08:46:09Z
dc.date.available	2020-01-17T08:46:09Z
dc.date.issued	2015	pl
dc.identifier.issn	1091-255X	pl
dc.identifier.uri	https://ruj.uj.edu.pl/xmlui/handle/item/134714
dc.language	eng	pl
dc.rights	Udzielam licencji. Uznanie autorstwa	*
dc.rights.uri	http://creativecommons.org/licenses	*
dc.title	Feasibility and outcomes of early oral feeding after total gastrectomy for cancer	pl
dc.type	JournalArticle	pl
dc.description.physical	473-479	pl
dc.abstract.en	Background Little data are available supporting the feasibility and safety of early oral feeding in patients after total gastrectomy. The aim of this study was to analyze the potential applicability of early provision of oral diet in these settings. Methods Medical records of 353 patients who underwent total gastrectomy for gastric cancer between 2006 and 2012 were retrospectively analyzed. Early oral feeding was defined as clear liquid diet on postoperative day (POD) 1 followed by gradual introduction of solid diet on POD 2 to 3. Late oral feeding was defined as initiation of liquid diet from POD 4 to 6 and gradually advancing to solid diets. Results Early oral feeding was implemented in 185 of 353 (52 %) patients. Prompt provision of food did not increase the risk of anastomotic failure (odds ratio 0.924, 95 % confidence interval 0.609–1.402, P=0.709). The number of reoperations and inhospital mortality rates was unaffected by the timing of nutritional intervention. Early feeding tended to be associated with fewer surgical (15 vs 24 %, P=0.027) and general (8 vs 23 %, P<0.001) complications. However, subsequent multivariate regression models failed to confirm significant correlations between timing of oral meals and postoperative morbidity. Conclusion Our findings suggested that early oral feeding is feasible and safe after total gastrectomy for gastric cancer. However, benefits of such early nutritional interventions require further studies.	pl
dc.subject.en	gastrectomy	pl
dc.subject.en	gastric cancer	pl
dc.subject.en	oral feeding	pl
dc.subject.en	complications	pl
dc.subject.en	enhanced recovery after surgery	pl
dc.description.volume	19	pl
dc.description.number	3	pl
dc.description.points	30	pl
dc.identifier.doi	10.1007/s11605-014-2720-0	pl
dc.identifier.eissn	1873-4626	pl
dc.title.journal	Journal of Gastrointestinal Surgery	pl
dc.language.container	eng	pl
dc.affiliation	Wydział Lekarski : I Katedra Chirurgii Ogólnej	pl
dc.affiliation	Wydział Lekarski : Klinika Chirurgii Ogólnej, Onkologicznej i Gastroenterologicznej	pl
dc.subtype	Article	pl
dc.rights.original	CC-BY; inne; ostateczna wersja wydawcy; w momencie opublikowania; 0	pl
dc.identifier.project	ROD UJ / OP	pl
dc.cm.id	69981
dc.cm.date	2020-01-07
.pointsMNiSW	[2015 A]: 30