Laffitte Andressa Madalozo, Polakowski Camila Brandão, Kato Massakazu
Hospital Erasto Gaertner, Curitiba, PR, Brazil.
Arq Bras Cir Dig. 2015 Jul-Sep;28(3):200-3. doi: 10.1590/S0102-67202015000300014.
There is no advantage in maintaining patients on oral fasting after gastrointestinal elective resection. The early feeding up to 48 h can be beneficial, because it reduces infectious complications and hospital stay.
Evaluate the evolution and tolerance of early oral diet in postoperative period after gastrectomy for gastric cancer.
Anthropometric assessment was performed on the day of surgery, weight, height, body mass index and weight loss were measured. Acceptance of diet was evaluated as food intake (amount accepted) and gastrointestinal symptoms such as nausea, vomiting, constipation, diarrhea, abdominal distension, postoperative complications and hospital stay.
The sample consisted of 23 patients, 17 with partial gastrectomy and six with total gastrectomy. In the assessment of nutritional status 9% were malnourished, 54.5% normal weight, 9% overweight and 27.2% obese, but 54% had weight loss. There was good acceptance of the diet in 96,9% of the sample. Nausea and abdominal distension were present in 4,3% and 65.2% constipation. Surgical complications according to the Clavien scalle, 13% had grade V, 4.3% grade IIIA, 8.7% grade I and 73% did not have complications. The length of hospital stay was 5±2.2 days.
Early postoperative re-feeding in total and partial gastrectomy was well tolerated by patients.
胃肠道择期切除术后让患者持续口服禁食并无益处。术后48小时内早期进食可能有益，因为这可减少感染性并发症并缩短住院时间。
评估胃癌胃切除术后早期口服饮食在术后阶段的进展及耐受性。
在手术当天进行人体测量评估，测量体重、身高、体重指数和体重减轻情况。通过食物摄入量（接受量）以及恶心、呕吐、便秘、腹泻、腹胀、术后并发症和住院时间等胃肠道症状来评估饮食接受情况。
样本包括23例患者，其中17例行部分胃切除术，6例行全胃切除术。在营养状况评估中，9%的患者营养不良，54.5%体重正常，9%超重，27.2%肥胖，但54%的患者体重减轻。96.9%的样本对饮食接受良好。4.3%的患者出现恶心，65.2%的患者出现便秘，腹胀。根据Clavien分级标准，13%的患者有V级手术并发症，4.3%为IIIA级，8.7%为I级，73%无并发症。住院时间为5±2.2天。
全胃和部分胃切除术后患者对早期术后再喂养耐受性良好。
