A Prospective Single-Institution Evaluation of Current Practices of Early Postoperative Feeding after Elective Intestinal Surgery

Postoperative diet advancement in patients undergoing elective small bowel or colorectal surgery by general surgeons (GSs) and colorectal surgeons (CRSs) was prospectively evaluated. Demographic (age and gender), disease location (small bowel or colorectum), surgical approach (laparoscopic or open),...

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Bibliographic Details
Published in:The American surgeon 2012-10, Vol.78 (10), p.1147-1150
Main Authors: ROHATINER, Tamar, WEND, Joseph, RHODES, Samuel, MURRELL, Zuri, BEREL, Dror, FLESHNER, Phillip
Format: Article
Language:English
Subjects:
Abdomen
Abdominal surgery
Adolescent
Adult
Age
Aged
Aged, 80 and over
Biological and medical sciences
Clinical medicine
Colorectal Surgery
Confidence intervals
Diet
Elective Surgical Procedures
Enteral Nutrition
Female
General aspects
General Surgery
Humans
Male
Medical sciences
Middle Aged
Mortality
Nutrition research
Ostomy
Postoperative Care - methods
Practice Patterns, Physicians
Prospective Studies
Surgery
Teaching hospitals
Time Factors
Young Adult
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Summary:Postoperative diet advancement in patients undergoing elective small bowel or colorectal surgery by general surgeons (GSs) and colorectal surgeons (CRSs) was prospectively evaluated. Demographic (age and gender), disease location (small bowel or colorectum), surgical approach (laparoscopic or open), and surgeon characteristics (GS or GRS) were tabulated. Postoperative feeding after surgery on postoperative Day (POD) 1 was assessed. Operations involved the colorectum (n=43 [72%]) or small bowel (n=17 [28%]) and were performed using laparoscopy (n=38 [63%]) or open (n=22 [37%]) techniques. Operations were performed by GSs (n=30) or CRSs (n=30). Early feeding was ordered on POD 1 on 34 patients (57%). The remaining 26 patients (43%) were kept nothing by mouth. Factors associated with early feeding included age younger than 50 years (P=.004), surgery done by CRSs (P
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481207801030