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  1. Early postoperative feeding after elective colorectal surgery. Discussion.

    Article, Communication - En anglais

    Scientific Session of the Western Surgical Association. Portland, Ore (USA), 1996/11/19.

    Background 

    Several investigators have demonstrated that routine nasogastric decompression after abdominal surgery is unnecessary and can be safely eliminated, and 1 recent study demonstrated the safety of early oral feedings.

    Objective 

    To test the hypothesis that successful early feeding would lead to a shorter duration of hospitalization and, therefore, would be more cost-effective.

    Patients 

    Fifty-eight patients with elective colorectal surgery.

    Methods 

    Patients were prospectively randomized to 1 of 2 postoperative treatment arms : early feeding (EF group, n=29) and traditional feeding (TF group, n=29).

    All patients in the EF group began a liquid diet on the first postoperative day and were advanced to a regular diet when they consumed 1000 mL in 24 hours.

    All patients in the TF group began a liquid diet after resolution of the postoperative ileus and were advanced to a regular diet after consuming 1000 mL in 24 hours.

    Patients were dismissed after tolerating two thirds of the regular diet.

    Both groups had intraoperative orogastric tubes that were removed at the end of surgery.

    Nasogastric tubes were inserted for persistent postoperative vomiting.

    Results 

    No significant differences were noted in age, types of procedures, or in prior abdominal surgery in either group.

    No significant differences were seen in rates of nausea (55% in EF vs 50% in TF group) or vomiting (48% in EF vs 33% in TF group). (...)

    Mots-clés Pascal : Résection chirurgicale, Côlon, Rectum, Réalimentation, Postopératoire, Précoce, Indication, Sécurité, Tolérance, Influence, Durée maintien, Hospitalisation, Résultat, Homme, Chirurgie, Appareil digestif pathologie, Intestin pathologie, Côlon pathologie, Rectum pathologie, Réanimation, Nutrition

    Mots-clés Pascal anglais : Surgical resection, Colon, Rectum, Refeeding, Postoperative, Early, Indication, Safety, Tolerance, Influence, Holding time, Hospitalization, Result, Human, Surgery, Digestive diseases, Intestinal disease, Colonic disease, Rectal disease, Resuscitation, Nutrition

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0330648

    Code Inist : 002B27B07. Création : 12/09/1997.