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


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

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Udzielam licencji. Uznanie autorstwa Except where otherwise noted, this item's license is described as Udzielam licencji. Uznanie autorstwa