Evaluation of Early Oral Feeding and Traditional Oral Feeding in Upper Gastrointestinal Surgeries

  • سال انتشار: 1388
  • محل انتشار: مجله علمی پژوهشی دانشگاه علوم پزشکی زنجان، دوره: 17، شماره: 67
  • کد COI اختصاصی: JR_ZUMS-17-67_006
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 209
دانلود فایل این مقاله

نویسندگان

سمیه ستوده

Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran

سید نجات حسینی

Dept. of Surgery, Zanjan University of Medical Sciences, Zanjan, Iran

سید نورالدین موسوی نسب

Dept. of Social Medicine, Zanjan University of Medical Sciences, Zanjan, Iran

محمد حسین مقیمی

Dept. of Surgery, Zanjan University of Medical Sciences, Zanjan, Iran

داریوش ناظمی سلمان

Dept. of Surgery, Zanjan University of Medical Sciences, Zanjan, Iran

علی شقاقی

Dept. of Surgery, Zanjan University of Medical Sciences, Zanjan, Iran

مرتضی نظریان

Dept. of Surgery, Zanjan University of Medical Sciences, Zanjan, Iran

چکیده

Background and Objective: Due to fears of postoperative complications following upper gastrointestinal surgeries (UGI), fasting before bowl function recovery is a traditional practice, but fasting following elective surgery is controversial. The aim of this study was to compare early oral feeding versus traditional oral feeding in patients who underwent UGI surgeries. Materials and Methods: Fifty two patients who underwent UGI anastomosis or surgery for various reasons were randomly divided into early oral feeding (EOF) group and traditional oral feeding (TOF) group. The nasogastric tube (NGT) removal time, tolerance of oral feeding, ileuses, nausea and vomiting, vital sign before and after surgery, postoperative stay, patients’ satisfaction and complications were recorded. Results: The mean time of NGT removal was ۱.۶۲ ±۰.۴۹ and ۴.۶۱±۱.۹۹ days in EOF group and TOF group respectively (p=۰.۰۰۰۵). The mean start time of oral feeding was ۲.۰۴ ± ۰.۱۹ and ۵.۸۷ ± ۱.۳۲ days in the EOF group and TOF group respectively (p=۰.۰۰۰۵). Tolerance of oral feeding was seen in ۲۴ (۹۲.۳%) patients and ۲۱ (۹۱.۳%) patients in the EOF and TOF groups respectively. Duration of hospital stay following surgery was ۵.۶۲ days in the EOF group and ۸.۰۴ days in the TOF group. ۲۴(۹۲.۳%) out of ۲۶ patients in the EOF group were satisfied with oral feeding that started in the second postoperative day. ۱۳ patients (۵۶.۵%) complained of delay feeding in the TOF group. Conclusion: The results of the present study suggest that early oral feeding following upper gastrointestinal anastomosis or surgery is safe and can result in a shorter hospital stay and less cost.

کلیدواژه ها

Key words: Early oral feeding, Upper gastrointestinal surgery, NGT

اطلاعات بیشتر در مورد COI

COI مخفف عبارت CIVILICA Object Identifier به معنی شناسه سیویلیکا برای اسناد است. COI کدی است که مطابق محل انتشار، به مقالات کنفرانسها و ژورنالهای داخل کشور به هنگام نمایه سازی بر روی پایگاه استنادی سیویلیکا اختصاص می یابد.

کد COI به مفهوم کد ملی اسناد نمایه شده در سیویلیکا است و کدی یکتا و ثابت است و به همین دلیل همواره قابلیت استناد و پیگیری دارد.