Lobato Dias Consoli M, Maciel Fonseca L, Gomes da Silva R, Toulson Davisson Correia Ma I
Alfa Institute of Gastroenterology, Medical School, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Nutr Hosp. 2010 Sep-Oct;25(5):806-9.
Early oral feeding after colorectal resections is one of the many factors that contributes to enhance recovery after surgery, mainly impacting on postoperative ileus. The aim of this study was to evaluate the impact of early postoperative oral feeding in patients undergoing elective colorectal resection.
Patients were randomly assigned to either a conventional postoperative dietary regimen or a free diet on the first postoperative day.
Altogether 29 patients were enrolled. Clinical characteristics were similar in both groups. Good nutritional status was seen in 86% of patient in the traditional care (TRAD) group versus 46% in the early fed (EF) group (p<0.05). There was no difference between groups in terms of procedures. Median hospital stay was 5.0 days in the TRAD group versus 3.0 days in the EF group (p<0.05). Complication rates and acceptance of diet were similar in both groups. Diarrhea occurred more frequently in the TRAD group (OR=1.86; IC 95%:1.08-3.20).
Early oral intake is well tolerated, leads to significant shorter hospital stay and does not increase complications.
结直肠切除术后早期经口进食是促进术后恢复的众多因素之一，主要影响术后肠梗阻。本研究旨在评估择期结直肠切除术后早期经口进食的影响。
患者被随机分配至术后传统饮食方案组或术后第1天自由饮食组。
共纳入29例患者。两组临床特征相似。传统护理（TRAD）组86%的患者营养状况良好，而早期进食（EF）组为46%（p<0.05）。两组手术方面无差异。TRAD组中位住院时间为5.0天，EF组为3.0天（p<0.05）。两组并发症发生率和饮食接受度相似。腹泻在TRAD组更常见（OR=1.86；95%CI：1.08-3.20）。
早期经口进食耐受性良好，可显著缩短住院时间且不增加并发症。
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