Early oral feeding in patients undergoing elective colonic anastomosis

Abstract

Early oral feeding after colorectal surgery is safe and tolerated by the majority of patients. Operative time and amount of blood loss do, however, have an impact on the tolerability of early feeding.

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway

“…13 Postoperative nutritional support is vital in maintaining nutritional status during the catabolic postoperative period and underscored by evidence for early and sustained feeding after surgery as part of ERP protocols. [14][15][16] In fact, the advancement of oral intake has been identified as an independent determinant of early recovery after colorectal surgery. 17 Some of the most striking recent data on the role of nutrition delivery in the perioperative period have demonstrated in patients undergoing oncologic surgery in an ERP, delivery of nutrition on the first postoperative day is an independent predictor of postoperative survival at 5 years.…”

Effects of a nutritional intervention in a fast-track program for a colorectal cancer surgery: systematic review

“…The mean age of the included patients was between 16 and 94 years (5,8), except one of them (16) that had a small group of children of 10 years, whom were not considered in this revision and only adults were included in the review. Men were more predominant within 18 (66.6%) of the studies (10)(11)(12)(13)(14)(17)(18)(19)(20)22,23,(25)(26)(27)(28)(29)(30)(31) and there was no mention about sex proportion in 2 (7.4%) works (6,8). Most of the studies proposed 2 groups, the intervention group (fast-track, G-FT) and the control group (traditional, G-T), only in 2 works 4 groups were designed (22,28) (Table I).…”

“…Most of the studies proposed 2 groups, the intervention group (fast-track, G-FT) and the control group (traditional, G-T), only in 2 works 4 groups were designed (22,28) (Table I). The number of treated patients was available in all works, some of them had the same number in each study group (6,7,13,15,17,20). The postoperative follow-up varied by time and used method ranging from a minimum of 3 postoperative days (POD) and a maximum of 29 POD (8,11,12,(15)(16)(17)19,22,27), only on author didn't mention the total follow-up period (9).…”

“…The number of treated patients was available in all works, some of them had the same number in each study group (6,7,13,15,17,20). The postoperative follow-up varied by time and used method ranging from a minimum of 3 postoperative days (POD) and a maximum of 29 POD (8,11,12,(15)(16)(17)19,22,27), only on author didn't mention the total follow-up period (9). The most of the authors monitored their patients even though others didn't mention It (5)(6)(7)13,14,23,25,28,29).…”

“…To reinforce the articles quality assessment the Critical Appraisal Skills Programme Spain (CASPe) was used among its 11 items applying the first three of them for screening and the questionnaire for the quantification of the critical analysis of scientific studies: clinical trials (CACEC-EC) which with its initial screening part reject the papers that don't reach the score of 6 points and has the following quality assessment values: low (0-6), good (7)(8)(9)(10)(11)(12)(13)(14) and excellent (15)(16)(17)(18)(19)(20).…”