Safety and feasibility of early oral feeding after gastrectomy: a meta-analysis.
- Author:
Qiang QIU
1
;
Jia-qing CAO
;
Qi WANG
;
Lin XIN
;
Jun HUANG
Author Information
- Publication Type:Journal Article
- MeSH: Eating; Feasibility Studies; Gastrectomy; Humans; Length of Stay; Safety; Stomach Neoplasms; surgery
- From: Chinese Journal of Gastrointestinal Surgery 2013;16(11):1045-1050
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo systematically evaluate the safety and feasibility of early oral feeding after gastric cancer surgery.
METHODSAvailable literatures of Embase, PubMed, Journals@Ovid, Web of Science, Springerlink, Google Scholar, Wanfang, and CNKI published before October 2012 were searched. Inclusion criteria and quality assessment were performed.
RESULTSNine studies including 778 patients undergoing gastrectomy were enrolled. Among them, 381 started oral intake before the recovery of bowel function(early oral feeding group), and 397 received traditional feeding. Differences in overall complication(RR=0.88, 95%CI:0.68-1.16) and tolerance (RR=1.01, 95%CI:0.96-1.06) between the two groups were not statistically significant. Patients the in early oral feeding group had faster bowel function recovery (MD=-0.86, 95%CI:-1.20--0.51) and shorter hospital stay(MD=-2.40, 95%CI:-3.33--1.47).
CONCLUSIONEarly oral feeding after gastrectomy is safe and feasible, and associated with faster recovery of bowel function and earlier discharge from hospital.
