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Factors affecting early postoperative feeding following elective open colon resection
L A Di Fronzo1, J Cymerman, T X O'Connell
1Kaiser Permanente Medical Center, Los Angeles, Calif, USA.
Archives of Surgery (Chicago, Ill. : 1960)
|September 16, 1999
Summary
Men and patients undergoing total abdominal colectomy are more likely to experience intolerance to early postoperative feeding after colon resection. Early feeding is safe and effective, leading to shorter hospital stays.
Area of Science:
- Gastroenterology
- Surgical Outcomes
- Clinical Nutrition
Background:
- Early postoperative feeding after colon resection aims to improve recovery and reduce hospital stays.
- Identifying factors associated with feeding intolerance is crucial for optimizing patient care.
Purpose of the Study:
- To identify factors predicting intolerance to early postoperative feeding following elective open colon resection.
- To assess the safety and efficacy of an early feeding protocol.
Main Methods:
- A consecutive case series of 200 patients undergoing elective open colon resection.
- An early feeding protocol was implemented, with a subgroup receiving metoclopramide.
- Outcomes measured included feeding tolerance, complications, and length of hospitalization.
Main Results:
- 13.5% of patients failed to tolerate early feeding.
- Male gender (20.9% vs 6.8%) and undergoing total abdominal colectomy (45.5% vs 12.2%) were associated with higher rates of feeding intolerance.
- Metoclopramide did not significantly improve feeding tolerance.
Conclusions:
- Early postoperative feeding is safe and effective for patients undergoing elective open colon resection.
- Male patients and those undergoing extensive colectomies require closer monitoring for feeding intolerance.
- The findings suggest potential targets for intervention to improve feeding tolerance.