Abstract
Objectives: Poor nutritional status following abdominal surgeries for esophageal and gastric cancers remains a major challenge in postoperative care. Our study aimed to investigate the efficacy of starting early oral feeding (EOF) in patients undergoing surgical resection of upper gastrointestinal malignancies. Methods: A total of 180 consecutive patients with a diagnosis of esophageal or gastric malignancies undergoing elective surgical resection between January 2008 and February 2011 were enrolled in this prospective cohort study. Seventy-two patients were assigned to the EOF group, and 108 patients received late oral feeding (LOF). Postoperative endpoints were compared between the two groups. Results: Nasogastric tubes were removed from patients on average 3.3±1.6 days after the surgery in the EOF group and 5.2±2.5 days in the LOF group (p<0.001). The soft diet regimen was started and tolerated significantly sooner in the EOF group (5.8±1.2 days) than the LOF group (9.5±5.5 days). Hospital stay was significantly shorter in the EOF group compared to the LOF group (6.7±3.1 days vs. 9.1±5.8 days, p0.050). Conclusions: EOF is safe following esophageal and gastric cancer surgery and results in faster recovery and hospital discharge.
Keywords
Publication details
- DOI
- 10.5001/omj.2016.36
- Journal
- Oman Medical Journal
- Publisher
- Oman Medical Specialty Board
- Open access
- Gold open access
Cite this article
APA 7
Shoar, S., Naderan, M., Mahmoodzadeh, H., Hosseini-Araghi, N., Mahboobi, N., Sirati, F., & Khorgami, Z. (2016). Early Oral Feeding After Surgery for Upper Gastrointestinal Malignancies: A Prospective Cohort Study. Oman Medical Journal. https://doi.org/10.5001/omj.2016.36
MLA 9
Shoar, Saeed, et al. "Early Oral Feeding After Surgery for Upper Gastrointestinal Malignancies: A Prospective Cohort Study." Oman Medical Journal, 2016. https://doi.org/10.5001/omj.2016.36.
Chicago (author–date)
Shoar, Saeed, Mohammad Naderan, Habibollah Mahmoodzadeh, Negin Hosseini-Araghi, Nastaran Mahboobi, Freydoon Sirati, and Zhamak Khorgami. 2016. "Early Oral Feeding After Surgery for Upper Gastrointestinal Malignancies: A Prospective Cohort Study." Oman Medical Journal. https://doi.org/10.5001/omj.2016.36.
Harvard
Shoar, S., Naderan, M., Mahmoodzadeh, H., Hosseini-Araghi, N., Mahboobi, N., Sirati, F. and Khorgami, Z. (2016) 'Early Oral Feeding After Surgery for Upper Gastrointestinal Malignancies: A Prospective Cohort Study', Oman Medical Journal. doi:10.5001/omj.2016.36.
Vancouver
Shoar S, Naderan M, Mahmoodzadeh H, Hosseini-Araghi N, Mahboobi N, Sirati F, et al. Early Oral Feeding After Surgery for Upper Gastrointestinal Malignancies: A Prospective Cohort Study. Oman Medical Journal. 2016. doi:10.5001/omj.2016.36
IEEE
S. Shoar, M. Naderan, H. Mahmoodzadeh, N. Hosseini-Araghi, N. Mahboobi, F. Sirati, and Z. Khorgami, "Early Oral Feeding After Surgery for Upper Gastrointestinal Malignancies: A Prospective Cohort Study," Oman Medical Journal, 2016, doi: 10.5001/omj.2016.36.