Abstract：
INTRODUCTION:It is generally believed that resumption of feeding after colorectal resection is indicated only after recovery of bowel function. This study was designed to verify safety, feasibility, and tolerance of early oral postoperative feeding (EOF) outside an enhanced recovery after surgery (ERAS) program. MATERIALS AND METHODS:One hundred patient candidates to elective colorectal resection were prospectively enrolled in an EOF program. Feeding was started on postoperative day (POD) 1 with oral nutritional supplement (ONS). On POD 2, patients had normal food plus ONS to reach 1,000-1,200 kcal/day with progressive increase until 1,800-2,000 kcal/day. Results were compared with historical controls (n = 100) in whom oral feeding was allowed only after full bowel function recovery. The ERAS program was not applied in both groups. RESULTS:The EOF group had a better recovery of short half-life protein synthesis compared with the control group (P < 0.001). Stool canalization occurred after a median of 3 days (range, 1-6 days) in the EOF group versus 5 days (range, 2-8 days) in the control group (P = 0.001). The feeding protocol was completed in 89 patients within POD 5. Tolerance to resumption of feeding was similar in the two groups. The overall rate of postoperative complication was 22% in the EOF group vs. 27% in the control group (P = 0.51). The median length of hospitalization was 9 days (range, 6-25 days) in the EOF group vs. 12 days (range, 6-31 days) in controls (P = 0.01). CONCLUSIONS:EOF after colorectal operations is feasible and safe outside an ERAS program.
journal_name
Int J Colorectal Disjournal_title
International journal of colorectal diseaseauthors
Gianotti L,Nespoli L,Torselli L,Panelli M,Nespoli Adoi
10.1007/s00384-011-1138-3subject
Has Abstractpub_date
2011-06-01 00:00:00pages
747-53issue
6eissn
0179-1958issn
1432-1262journal_volume
26pub_type
临床试验,杂志文章abstract：BACKGROUND:Surgical site infection (SSI) continues to be a challenge in colorectal surgery. Over the years, various modalities have been used in an attempt to reduce SSI risk in elective colorectal surgery, which include mechanical bowel preparation before surgery, oral antibiotics and intravenous antibiotic prophylaxi...
journal_title：International journal of colorectal disease
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s00384-016-2662-y
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND:Several studies have confirmed that laparoscopic colorectal surgery results in improved early post-operative outcomes. Nevertheless, conventional laparoscopic approach and instruments have several limitations. Robotic approach could potentially address of many of these limitations. OBJECTIVES:This review ai...
journal_title：International journal of colorectal disease
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s00384-013-1764-z
更新日期：2014-01-01 00:00:00
abstract：:A combined manometric and radioisotope study is described which was designed to investigate the motility characteristics of induced defaecation in the colon, rectum and anal canal, in patients with severe constipation. Five women with severe idiopathic constipation, aged 30-45 years, were studied. A multiple channel w...
journal_title：International journal of colorectal disease
pub_type： 杂志文章
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更新日期：1992-12-01 00:00:00
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journal_title：International journal of colorectal disease
pub_type： 杂志文章,多中心研究
doi：10.1007/s00384-006-0220-8
更新日期：2007-07-01 00:00:00
abstract：BACKGROUND:In colitis, iron therapy may be given to treat anemia, but it may also be detrimental based on our previous studies using a rat model with colitis where iron supplementation increased disease activity and oxidative stress. This effect was partially reduced by an antioxidant. AIMS:The aim of this study was t...
journal_title：International journal of colorectal disease
pub_type： 杂志文章
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更新日期：2006-05-01 00:00:00
abstract：BACKGROUND AND AIMS:Colonic diverticulitis shows a high recurrence rate, but the role of faecal markers in predicting recurrence is unknown. The aim of this study was to investigate the role of faecal calprotectin (FC) in predicting recurrence of diverticulitis. PATIENTS/METHODS:A prospective cohort study was performe...
journal_title：International journal of colorectal disease
pub_type： 杂志文章
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更新日期：2014-08-01 00:00:00
abstract：PURPOSE:The treatment of acutely obstructed carcinoma of the left colon still represents a matter of controversy. The aim of the study was to evaluate the results of its management by emergency subtotal or total colectomy with immediate anastomosis without diversion. METHODS:An emergency subtotal/total colectomy was p...
journal_title：International journal of colorectal disease
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doi：10.1007/s00384-005-0048-7
更新日期：2006-09-01 00:00:00
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journal_title：International journal of colorectal disease
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：2002-09-01 00:00:00
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journal_title：International journal of colorectal disease
pub_type： 杂志文章
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更新日期：2018-06-01 00:00:00
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journal_title：International journal of colorectal disease
pub_type： 杂志文章
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更新日期：1996-01-01 00:00:00
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journal_title：International journal of colorectal disease
pub_type： 杂志文章,meta分析,评审
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更新日期：2017-05-01 00:00:00
abstract：PURPOSE:The use of computed tomography (CT) to detect anastomotic leakage (AL) is becoming the standard of care. Accurate detection of AL is crucial. The aim of this study was to define CT criteria that are most predictive for AL. METHODS:From January 2006 to December 2012, all consecutive patients who had undergone C...
journal_title：International journal of colorectal disease
pub_type： 杂志文章
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更新日期：2015-06-01 00:00:00
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journal_title：International journal of colorectal disease
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更新日期：2020-10-01 00:00:00
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更新日期：2008-09-01 00:00:00
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journal_title：International journal of colorectal disease
pub_type： 杂志文章
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更新日期：2016-03-01 00:00:00
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journal_title：International journal of colorectal disease
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00384-004-0720-3
更新日期：2006-01-01 00:00:00
abstract：:Disruption of the anal sphincter results from obstetric injury, ano-rectal operations or external trauma. Obstetric or surgical division of the sphincteric mechanism may not be immediately apparent and the clinical presentation of incontinence may occur several years later [1, 2]. Reconstruction of the sphincter using...
journal_title：International journal of colorectal disease
pub_type： 杂志文章
doi：10.1007/BF00699424
更新日期：1994-05-01 00:00:00
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journal_title：International journal of colorectal disease
pub_type： 杂志文章
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更新日期：2010-05-01 00:00:00
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更新日期：2008-03-01 00:00:00
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journal_title：International journal of colorectal disease
pub_type： 杂志文章
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更新日期：2016-02-01 00:00:00
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journal_title：International journal of colorectal disease
pub_type： 杂志文章
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更新日期：2020-10-21 00:00:00
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更新日期：2013-12-01 00:00:00
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journal_title：International journal of colorectal disease
pub_type： 杂志文章,随机对照试验
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pub_type： 临床试验,杂志文章
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更新日期：2010-07-01 00:00:00
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journal_title：International journal of colorectal disease
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更新日期：1986-10-01 00:00:00
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更新日期：2014-10-01 00:00:00
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pub_type： 杂志文章
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更新日期：2001-06-01 00:00:00
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更新日期：2009-09-01 00:00:00
