Vol. 10 No. 1 (2018): Archives of Public Health
Clinical Science

Impact of early oral feeding on postoperative bowel function recovery after elective colorectal surgery

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  • Стојан (Stojan) Ѓошев (Gjoshev),
  • Бети (Beti) Дејанова (Dejanova),
  • Љубомир (Ljubomir) Огњеновиќ (Ognenovikj),
  • Александар (Aleksandar) Шумковски (Shumkovski),
  • Милчо (Milcho) Пановски (Panovski),
  • Наталија (Natalija) Цоклеска (Cokleska),
  • Билјана (Biljana) Кузмановска (Kuzmanovska)
Стојан (Stojan) Ѓошев (Gjoshev)
Универзитетска Kлиника за дигестивна хирургија, Медицински факултет, Скопје
Бети (Beti) Дејанова (Dejanova)
Институт за медицинска физиологија и антропологија, Медицински факултет, Скопје
Љубомир (Ljubomir) Огњеновиќ (Ognenovikj)
Универзитетска Kлиника за дигестивна хирургија, Медицински факултет, Скопје
Александар (Aleksandar) Шумковски (Shumkovski)
Универзитетска Kлиника за дигестивна хирургија, Медицински факултет, Скопје
Милчо (Milcho) Пановски (Panovski)
Универзитетска Kлиника за дигестивна хирургија, Медицински факултет, Скопје
Наталија (Natalija) Цоклеска (Cokleska)
Универзитетска Kлиника за детска хирургија, Медицински факултет, Скопје
Билјана (Biljana) Кузмановска (Kuzmanovska)
Универзитетска Клиника за трауматологија, ортопедија, анестезиологија, реанимација, интензивно лекување и ургентен центар, Медицински факултет, Скопје

Published 2018-05-15

Keywords

  • colorectal carcinoma,
  • early feedinig,
  • hospitalization,
  • bowel function

How to Cite

1.
Ѓошев (Gjoshev) Стојан (Stojan), Дејанова (Dejanova) Бети (Beti), Огњеновиќ (Ognenovikj) Љубомир (Ljubomir), Шумковски (Shumkovski) Александар (Aleksandar), Пановски (Panovski) Милчо (Milcho), Цоклеска (Cokleska) Наталија (Natalija), Кузмановска (Kuzmanovska) Билјана (Biljana). Impact of early oral feeding on postoperative bowel function recovery after elective colorectal surgery. Arch Pub Health [Internet]. 2018 May 15 [cited 2024 Nov. 5];10(1):5-11. Available from: https://id-press.eu/aph/article/view/1603
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Abstract

The aim of this paper was to determine the impact of early oral feeding after elective colorectal surgery on  postoperative bowel function  recovery and  peroperative  morbidity. Material and methods: A total of 100 patients with diagnosed colorectal carcinoma and standard preoperative and operative procedure were enrolled  in this prospective randomized study. The patients were divided in 2 groups: experimental and control group. Experimental group started with liquid oral intake within the first 24 postoperative hours and continued to regular diet within the next 24-48 hours as tolerated. Control group started with oral intake after resolution of postoperative ileus. Postoperative bowel function recovery, length of hospitalization, individual and overall number of peroperative complications and readmiossion within 30 days period were assessed. Results: Both groups were similar in terms of gender, age, diagnosis and surgical procedure (p>0,05). Regarding the bowel function recovery, earlier bowel movements 1,18±0,39 vs. 2,14±0,53, first passage of flatus 1,90±0,65 vs. 3,34±1,06 and first stool 3,24±1,33 vs. 5,28±1,83 were observed in the early feeding group of patients (p<0,001). There was no difference in complications individually, but overall number of complications 3 vs. 10 (p=0,04) was lesser and hospitalization 7,48±2,47 vs. 9,88±3,66  (p<0.001) was shorter in the early feeding group. Conclusion: Early postoperative oral feeding in patients with colorectal carcinoma results in earlier bowel function recovery, gradually decreased peroperative morbidity and shortened hospitalization.

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