Patient-Controlled Nutrition After Abdominal Surgery: Novel Concept Contrary to Surgical Dogma.
- Author:
Hyung Ook KIM
1
;
Mingoo KANG
;
Sung Ryol LEE
;
Kyung Uk JUNG
;
Hungdai KIM
;
Ho Kyung CHUN
Author Information
- Publication Type:Original Article
- Keywords: Postoperative care; Diet; Nutritional support; Abdominal surgery; Appendectomy
- MeSH: Anesthesia, General; Appendectomy; Diet; Humans; Length of Stay; Linear Models; Logistic Models; Meals; Multivariate Analysis; Nutritional Support; Pilot Projects; Postoperative Care; Pregnenolone Carbonitrile; Retrospective Studies; Risk Factors
- From:Annals of Coloproctology 2018;34(5):253-258
- CountryRepublic of Korea
- Language:English
- 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.
