Article Sidebar

PDF
Date Published: 22/08/2022
Abstract Views: 1211
Views PDF: 582
DOI: https://doi.org/10.51298/vmj.v517i1.3166
Issue
Vol. 517 No. 1 (2022)
Section
Các bài báo
How to Cite
Thị Phương, N. ., Thị Thanh Bình, T. ., Thị Linh, N. ., Minh Trang, T. ., Đức Huấn, Đặng ., Thu Huyền, N. ., Thị Hương, L. ., Thị Hòa, Đỗ ., Văn Kiên, Q. ., Xuân Hòa, N. ., & Tất Thành, Đỗ . (2022). THE EFFECT OF EARLY ORAL FEEDING AFTER DISTAL GASTRECTOMY SURGERY FOR CANCER. Vietnam Medical Journal, 517(1). https://doi.org/10.51298/vmj.v517i1.3166

THE EFFECT OF EARLY ORAL FEEDING AFTER DISTAL GASTRECTOMY SURGERY FOR CANCER

Nguyễn Thị Phương1, Trịnh Thị Thanh Bình2, Ngô Thị Linh2, Thạch Minh Trang2, Đặng Đức Huấn2, Nguyễn Thu Huyền2, Lê Thị Hương1, Đỗ Thị Hòa1, Quách Văn Kiên1,3, Nguyễn Xuân Hòa1, Đỗ Tất Thành1,2,
1 Hanoi Medical University
2 Vietnam-Germany Friendship Hospital
3 Bệnh viện HN Việt Đức

Main Article Content

Abstract

The traditional practice of fasting until transit has been proven to be of no benefit and is now being changed. Early postoperative oral nutrition is recommended in most guidelines of major nutrition associations and in recovery enhancing programs around the world. We conducted a controlled clinical trial in 30 patients undergoing distal gastrectomy for cancer who were randomly divided into 2 groups. The intervention group received early oral nutrition within 24-48 hours after surgery. The control group was fed as routine regimen of the Hospital. The results showed that early oral feeding enhanced bowel function recovery with shorter annal exhaust time and defecation time statistically significant, while the incidences of postoperative complicationsand feeding intolerance were comparable between the two groups, there were no cases of anastomotic leakage. In comparison to delayed oral feeding, early oral feeding was higher levels of prealbumin significantly.

Article Details

Keywords

early oral feeding, postoperative fasting, distal gastrectomy, enhanced recovery after surgery, ERAS

References

1. He H, Ma Y, Zheng Z, Deng X, Zhu J, Wang Y. Early versus delayed oral feeding after gastrectomy for gastric cancer: A systematic review and meta-analysis. Int J Nurs Stud. 2022;126:104120.
2. Lewis SJ, Egger M, Sylvester PA, Topic ST. Early enteral feeding versus “nil by mouth” after gastrointestinal surgery: systematic review and meta-analysis of controlled trials. 2001;323:5.
3. Mortensen K, Nilsson M, Slim K, et al. Consensus guidelines for enhanced recovery after gastrectomy. Br J Surg. 2014;101(10):1209-1229.
4. Brandstrup B. Fluid therapy for the surgical patient. Best Pract Res Clin Anaesthesiol. 2006;20(2):265-283.
5. Desiderio J, Trastulli S, D’Andrea V, Parisi A. Enhanced recovery after surgery for gastric cancer (ERAS-GC): optimizing patient outcome. Transl Gastroenterol Hepatol. 2020;5:11
6. Wang Q, Guo BY, Zhao QC, et al. Safety of early oral feeding after total laparoscopic radical gastrectomy for gastric cancer (SOFTLY): Study protocol for a randomized controlled trial. Trials. 2019;20.
7. Lưu Ngân Tâm, Lâm Việt Trung và cộng sự. (2016). Đánh giá kết quả nuôi ăn sớm qua đường miệng sau phẫu thuật cắt dạ dày do ung thư. Tạp chí Y học Thành phố Hồ Chí Minh. 20 (2).
8. Trương Thị Thư và cộng sự. (2018). Hiệu quả nuôi ăn sớm sau phẫu thuật cắt đoạn dạ dày nội soi điều trị ung thư dạ dày tại bệnh viện quân y 103. Tạp chí Y-Dược học Quân sự.