BACKGROUND: There is no advantage in maintaining patients on oral fasting after gastrointestinal elective resection. The early feeding up to 48 h can be beneficial, because it reduces infectious complications and hospital stay. AIM: Evaluate the evolution and tolerance of early oral diet in postoperative period after gastrectomy for gastric cancer. METHODS: Anthropometric assessment was performed on the day of surgery, weight, height, body mass index and weight loss were measured. Acceptance of diet was evaluated as food intake (amount accepted) and gastrointestinal symptoms such as nausea, vomiting, constipation, diarrhea, abdominal distension, postoperative complications and hospital stay. RESULTS: The sample consisted of 23 patients, 17 with partial gastrectomy and six with total gastrectomy. In the assessment of nutritional status 9% were malnourished, 54.5% normal weight, 9% overweight and 27.2% obese, but 54% had weight loss. There was good acceptance of the diet in 96,9% of the sample. Nausea and abdominal distension were present in 4,3% and 65.2% constipation. Surgical complications according to the Clavien scalle, 13% had grade V, 4.3% grade IIIA, 8.7% grade I and 73% did not have complications. The length of hospital stay was 5±2.2 days. CONCLUSION: Early postoperative re-feeding in total and partial gastrectomy was well tolerated by patients.
BACKGROUND: There is no advantage in maintaining patients on oral fasting after gastrointestinal elective resection. The early feeding up to 48 h can be beneficial, because it reduces infectious complications and hospital stay. AIM: Evaluate the evolution and tolerance of early oral diet in postoperative period after gastrectomy for gastric cancer. METHODS: Anthropometric assessment was performed on the day of surgery, weight, height, body mass index and weight loss were measured. Acceptance of diet was evaluated as food intake (amount accepted) and gastrointestinal symptoms such as nausea, vomiting, constipation, diarrhea, abdominal distension, postoperative complications and hospital stay. RESULTS: The sample consisted of 23 patients, 17 with partial gastrectomy and six with total gastrectomy. In the assessment of nutritional status 9% were malnourished, 54.5% normal weight, 9% overweight and 27.2% obese, but 54% had weight loss. There was good acceptance of the diet in 96,9% of the sample. Nausea and abdominal distension were present in 4,3% and 65.2% constipation. Surgical complications according to the Clavien scalle, 13% had grade V, 4.3% grade IIIA, 8.7% grade I and 73% did not have complications. The length of hospital stay was 5±2.2 days. CONCLUSION: Early postoperative re-feeding in total and partial gastrectomy was well tolerated by patients.
Authors: Dong Hoon Jo; Oh Jeong; Jang Won Sun; Mi Ran Jeong; Seong Yeop Ryu; Young Kyu Park Journal: J Gastric Cancer Date: 2011-06-30 Impact factor: 3.720
Authors: Paula M Murphy; Guy R J C Blackshaw; Holly J Paris; Paul Edwards; Jonathan D Barry; Wyn G Lewis Journal: Clin Nutr Date: 2004-08 Impact factor: 7.324
Authors: Marcus Vinicius Rozo Rodrigues; Valdir Tercioti-Junior; Luiz Roberto Lopes; João de Souza Coelho-Neto; Nelson Adami Andreollo Journal: Arq Bras Cir Dig Date: 2016 Apr-Jun
Authors: Carlos Augusto Leite de Barros Carvalho; Augusto Aurélio de Carvalho; Paulo Luiz Batista Nogueira; José Eduardo de Aguilar-Nascimento Journal: Arq Bras Cir Dig Date: 2017 Jan-Mar