Patient-Controlled Nutrition After Abdominal Surgery: Novel Concept Contrary to Surgical Dogma
Annals of Coloproctology
;
: 253-258, 2018.
Article
in English
| WPRIM
| ID: wpr-717374
ABSTRACT
PURPOSE:
According to surgical dogma, patients who are recovering from general anesthesia after abdominal surgery should begin with a clear liquid diet, progress to a full liquid diet and then to a soft diet before taking regular meals. We propose patient-controlled nutrition (PCN), which is a novel concept in postoperative nutrition after abdominal surgery.METHODS:
A retrospective pilot study was conducted to evaluate the feasibility and effects of PCN. This study was carried out with a total of 179 consecutive patients who underwent a laparoscopic appendectomy between August 2014 and July 2016. In the PCN group, diet was advanced depending on the choice of the patients themselves; in the traditional group, diet was progressively advanced to a full liquid or soft diet and then a regular diet as tolerated. The primary endpoints were time to tolerance of regular diet and postoperative hospital stay.RESULTS:
Time to tolerance of a regular diet (P < 0.001) and postoperative hospital stay (P < 0.001) showed statistically significant differences between the groups. Multivariate analysis using linear regression showed that the traditional nutrition pattern was the only factor associated with postoperative hospital stay (P < 0.001). Multivariate analysis using logistic regression showed that traditional nutrition was the only risk factor associated with prolonged postoperative hospital stay (≥3 days).CONCLUSION:
After abdominal surgery, PCN may be a feasible and effective concept in postoperative nutrition. In our Early Recovery after Surgery program, our PCN concept may reduce the time to tolerance of a regular diet and shorten the postoperative hospital stay.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Appendectomy
/
Postoperative Care
/
Pregnenolone Carbonitrile
/
Linear Models
/
Logistic Models
/
Pilot Projects
/
Multivariate Analysis
/
Retrospective Studies
/
Risk Factors
/
Nutritional Support
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
English
Journal:
Annals of Coloproctology
Year:
2018
Type:
Article
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