EARLY VERSUS DELAYED ORAL FEEDING AFTER GASTRIC SURGERY, PROSPECTIVE RANDOMIZED TRIAL | ||
| The Egyptian Journal of Surgery | ||
| Article 6, Volume 30, Issue 2, April 2011, Pages 78-83 PDF (577.71 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2011.367378 | ||
| Authors | ||
| Reda Fawzy; Yasser Hamza* ; Esam Gabr; Fayez Mansour; Habashi Abdel basset | ||
| Department of Surgery, Alexandria University, Egypt | ||
| Abstract | ||
| Aim: The aim of the work is to evaluate the outcome of one of the main elements of fast track which is the early resumption of oral feeding after gastric operations versus conventional delayed oral feeding. Methods: This is a prospective randomized trial. It included forty consecutive patients who underwent gastric surgery at Alexandria Main University Hospital. Patients were randomly allocated into 2 groups by the closed envelop method: Group (A) was allowed early oral feeding as follows: Post-operative day one, patients were allowed free fluids. Solid food was allowed the next day. Patients were discharged when they could tolerate a standard hospital meal. Group (B): (control group) followed the conventional regimen (nil per mouth for five days). Results: There was no difference in early postoperative complications (P =0.749), the early oral feeding group had shorter hospital stay (6.20 ± 1.79days vs. 9.60 ± 2.64 days; P=0.001). They regained their bowel sound earlier and passed flatus sooner than the control group. Conclusions: Early oral feeding following gastric surgery is safe. It allows faster recovery and a shorter hospital stay. | ||
| Keywords | ||
| Fast track; gastrectomy; convalescence | ||
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