Document Detail

Early oral nutrition after major upper gastrointestinal surgery: why not?
MedLine Citation:
PMID:  16912559     Owner:  NLM     Status:  MEDLINE    
PURPOSE OF REVIEW: To examine the available documentation addressing the introduction of early food after major upper gastrointestinal surgery. RECENT FINDINGS: No high-quality trials, recent or old, have addressed this topic. A few attempts have been identified. Information is extracted from papers discussing other topics of postoperative care in this field. Generally, nasogastric tubes and nil-by-mouth prevail in the early postoperative period. SUMMARY: The reluctance to allow early food at will is not evidence based, but neither is the safety of an alternative regimen. Early food at will should probably be allowed after hepatic resections, gastric resections, and total gastrectomies and maybe also after pancreaticoduodenectomies. Resections of the esophagus remain the most challenging issue. The need is urgent for high-powered and high-quality randomized controlled clinical trials.
Kristoffer Lassen; Arthur Revhaug
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in clinical nutrition and metabolic care     Volume:  9     ISSN:  1363-1950     ISO Abbreviation:  Curr Opin Clin Nutr Metab Care     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-08-16     Completed Date:  2006-10-16     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9804399     Medline TA:  Curr Opin Clin Nutr Metab Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  613-7     Citation Subset:  IM    
Department of Digestive Surgery, University Hospital Northern Norway, Tromsø, Norway.
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MeSH Terms
Enteral Nutrition*
Gastrointestinal Diseases / surgery*,  therapy*
Gastrointestinal Tract / surgery
Intubation, Gastrointestinal / methods
Postoperative Care / methods*
Randomized Controlled Trials as Topic
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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