Abstract
Purpose: This study was undertaken to assess the feasibility of early feeding in patients that have undergone emergency gastrointestinal (GI) surgery. Materials and Methods: The authors retrospectively reviewed 84 patients that underwent emergency bowel resection and/or anastomosis from March 2008 to December 2011. Patients with severe shock, intestinal ischemia, sustained bowel perforation, or short bowel syndrome were excluded. Patients were divided into the early (group E; n=44) or late (group L; n=40) group according to the time of feeding commencement. Early feeding was defined as enteral feeding that started within 48 hours after surgery. Early and late feeding groups were compared with respect to clinical data and surgical outcomes. Results: The most common cause of operation was bowel perforation, and the small bowel was the most commonly involved site. No significant intergroup differences were found for causes, sites, or types of operation. However, length of stay (LOS) in the intensive care unit (1 day vs. 2 days, p=0.038) and LOS in the hospital after surgery were significantly greater (9 days vs. 12 days, p=0.012) in group L than group E; pulmonary complications were also significantly more common (13.6% vs. 47.5%, p=0.001) in group L than group E. Conclusion: After emergency GI surgery, early feeding may be feasible in patients without severe shock or bowel anastomosis instability.
| Original language | English |
|---|---|
| Pages (from-to) | 395-400 |
| Number of pages | 6 |
| Journal | Yonsei Medical Journal |
| Volume | 55 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 2014 Mar 1 |
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All Science Journal Classification (ASJC) codes
- Medicine(all)
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Early feeding is feasible after emergency gastrointestinal surgery. / Lee, Hyung Soon; Shim, Hongjin; Jang, Ji Young; Lee, Hosun; Lee, JaeGil.
In: Yonsei Medical Journal, Vol. 55, No. 2, 01.03.2014, p. 395-400.Research output: Contribution to journal › Article
TY - JOUR
T1 - Early feeding is feasible after emergency gastrointestinal surgery
AU - Lee, Hyung Soon
AU - Shim, Hongjin
AU - Jang, Ji Young
AU - Lee, Hosun
AU - Lee, JaeGil
PY - 2014/3/1
Y1 - 2014/3/1
N2 - Purpose: This study was undertaken to assess the feasibility of early feeding in patients that have undergone emergency gastrointestinal (GI) surgery. Materials and Methods: The authors retrospectively reviewed 84 patients that underwent emergency bowel resection and/or anastomosis from March 2008 to December 2011. Patients with severe shock, intestinal ischemia, sustained bowel perforation, or short bowel syndrome were excluded. Patients were divided into the early (group E; n=44) or late (group L; n=40) group according to the time of feeding commencement. Early feeding was defined as enteral feeding that started within 48 hours after surgery. Early and late feeding groups were compared with respect to clinical data and surgical outcomes. Results: The most common cause of operation was bowel perforation, and the small bowel was the most commonly involved site. No significant intergroup differences were found for causes, sites, or types of operation. However, length of stay (LOS) in the intensive care unit (1 day vs. 2 days, p=0.038) and LOS in the hospital after surgery were significantly greater (9 days vs. 12 days, p=0.012) in group L than group E; pulmonary complications were also significantly more common (13.6% vs. 47.5%, p=0.001) in group L than group E. Conclusion: After emergency GI surgery, early feeding may be feasible in patients without severe shock or bowel anastomosis instability.
AB - Purpose: This study was undertaken to assess the feasibility of early feeding in patients that have undergone emergency gastrointestinal (GI) surgery. Materials and Methods: The authors retrospectively reviewed 84 patients that underwent emergency bowel resection and/or anastomosis from March 2008 to December 2011. Patients with severe shock, intestinal ischemia, sustained bowel perforation, or short bowel syndrome were excluded. Patients were divided into the early (group E; n=44) or late (group L; n=40) group according to the time of feeding commencement. Early feeding was defined as enteral feeding that started within 48 hours after surgery. Early and late feeding groups were compared with respect to clinical data and surgical outcomes. Results: The most common cause of operation was bowel perforation, and the small bowel was the most commonly involved site. No significant intergroup differences were found for causes, sites, or types of operation. However, length of stay (LOS) in the intensive care unit (1 day vs. 2 days, p=0.038) and LOS in the hospital after surgery were significantly greater (9 days vs. 12 days, p=0.012) in group L than group E; pulmonary complications were also significantly more common (13.6% vs. 47.5%, p=0.001) in group L than group E. Conclusion: After emergency GI surgery, early feeding may be feasible in patients without severe shock or bowel anastomosis instability.
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UR - http://www.scopus.com/inward/citedby.url?scp=84894251200&partnerID=8YFLogxK
U2 - 10.3349/ymj.2014.55.2.395
DO - 10.3349/ymj.2014.55.2.395
M3 - Article
VL - 55
SP - 395
EP - 400
JO - Yonsei Medical Journal
JF - Yonsei Medical Journal
SN - 0513-5796
IS - 2
ER -