ASSESSING SAFETY OF EARLY ORAL FEEDING AFTER SURGICAL TREATMENT OF PATIENTS WITH ESOPHAGEAL AND GASTRIC MALIGNANCIES IN TUMS CANCER INSTITUTE PATIENTS DURING 1996–2004

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SIRATI F.; KHOURGAMI ZH.; MAHMOUDZADEH H.A.

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Journal: Iranian Journal of Surgery Year:2006 | Volume:14 | Issue:3 Page(s): 0-0

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Title

ASSESSING SAFETY OF EARLY ORAL FEEDING AFTER SURGICAL TREATMENT OF PATIENTS WITH ESOPHAGEAL AND GASTRIC MALIGNANCIES IN TUMS CANCER INSTITUTE PATIENTS DURING 1996–2004

Author(s)

SIRATI F. | KHOURGAMI ZH. | MAHMOUDZADEH H.A. | Issue Writer Certificate

Keywords

GASTEROESOPHAGEALQ4

MALIGNANCYQ4

EARLY FEEDINGQ4

SAFETYQ4

Abstract

Introduction & Objective: Feeding patients following GI operations especially in GI track anastomosis is a matter of consideration. For years, surgeons did not used to feed their patients for couple of days. Gradually, this delay was argued and EARLY FEEDING, immediately after disappearance of ilues applied. This article represents the results of a research about SAFETY of early oral feeding after resection of GASTEROESOPHAGEAL malignancies and its potential benefits.Materials & Methods: The protocol of this study has been carried out in TUMS cancer Institute in patients with esophageal or gastric cancers since 1997. The patients were divided in two groups. In case group, the liquid regime started in 24 to 48 hours after surgery. The regime was one glass (50 to 100 cc) of tea with sugar every 8 hours, while the patient still has the NG Tube. In control group, early oral feeding was not initiated and the patients were NPO for at least 4 days. The information about the demographic characteristics of the patients, post operative feeding pattern, post operative oral feeding tolerance and post operative complications were collected and analyzed.Results: In this study, data of 132 patients were collected. The patients were matched by age, sex and surgical techniques. The number of 71 patients had esophageal cancer and 61 patients had gastric MALIGNANCY. On the whole 61 patients were early fed and 71 patients lately fed. The early fed group was fed orally 1.8 days on the average after the surgery, and the lately fed one was fed 6.2 days after the operation. In the case group, the NG Tube was removed 2 days earlier (P value=<0.0001) and the beginning of the soft diet was 3 days earlier (P value=<0.0001). The serum therapy was paused 2 days earlier in the case group (P value=0.031). Also the overall inpatient period and the post operative inpatient period come out to be 4 and 2.5 days shorter respectively in case group which show a significant statistical difference with the control group. There were also no significant differences in the mortality rate in the two groups.Conclusions: The result of this research showed that early oral feeding in the first or second postoperative days in patients with surgery on their upper GI tract does not cause complications such as leakage, and lowers the rate of morbidities and mortalities. Also this procedure will decrease the excesses by shortening the inpatient period and incidence of complications.

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APA: Copy

SIRATI, F., KHOURGAMI, ZH., & MAHMOUDZADEH, H.A.. (2006). ASSESSING SAFETY OF EARLY ORAL FEEDING AFTER SURGICAL TREATMENT OF PATIENTS WITH ESOPHAGEAL AND GASTRIC MALIGNANCIES IN TUMS CANCER INSTITUTE PATIENTS DURING 1996–2004. IRANIAN JOURNAL OF SURGERY, 14(3), 0-0. SID. https://sid.ir/paper/393841/en

Vancouver: Copy

SIRATI F., KHOURGAMI ZH., MAHMOUDZADEH H.A.. ASSESSING SAFETY OF EARLY ORAL FEEDING AFTER SURGICAL TREATMENT OF PATIENTS WITH ESOPHAGEAL AND GASTRIC MALIGNANCIES IN TUMS CANCER INSTITUTE PATIENTS DURING 1996–2004. IRANIAN JOURNAL OF SURGERY[Internet]. 2006;14(3):0-0. Available from: https://sid.ir/paper/393841/en

IEEE: Copy

F. SIRATI, ZH. KHOURGAMI, and H.A. MAHMOUDZADEH, “ASSESSING SAFETY OF EARLY ORAL FEEDING AFTER SURGICAL TREATMENT OF PATIENTS WITH ESOPHAGEAL AND GASTRIC MALIGNANCIES IN TUMS CANCER INSTITUTE PATIENTS DURING 1996–2004,” IRANIAN JOURNAL OF SURGERY, vol. 14, no. 3, pp. 0–0, 2006, [Online]. Available: https://sid.ir/paper/393841/en

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