Prolonged preoperative fasting and prognosis in critically ill gastrointestinal surgery patients.

Abstract:

BACKGROUND AND OBJECTIVES:This study aimed to assess the influence of prolonged preoperative fasting on prognosis in elective surgery. METHODS AND STUDY DESIGN:A retrospective, controlled study involving patients admitted to our surgical intensive care unit who underwent a gastrointestinal operation under general anesthesia. Patients were divided into regular preoperative fasting time (n=57) and prolonged preoperative fasting time (n=73) groups. Clinical data were collected including patients' demographics, intraoperative and postoperative operation time, volume of blood loss, intensive care unit stay, hospital stay, postoperative complications and other factors. RESULTS:Patients in the regular preoperative fasting time group had less duration of mechanical ventilation support after surgery [245 (177, 450) min vs 315 (210, 812) min (p=0.021)] and the postoperative myocardial injuries (myocardial injury 2 cases vs 11 cases, p=0.038) and reoperation percentages (reoperation 0 cases vs 7 cases, p=0.044) were lower compared to the prolonged preoperative fasting time group. In addition, patients in the regular preoperative fasting time group presented with a significantly shorter period of postoperative fasting time [6.0 (5.0, 8.0) vs 8.0 (6.0, 13.0), p=0.005]. CONCLUSIONS:Prolonged preoperative fasting time led to unfavorable outcomes after gastrointestinal operations. Thus, reducing preoperative fasting time is likely to accelerate postoperative recovery in gastrointestinal surgery patients.

journal_name

Asia Pac J Clin Nutr

authors

Zhou G,Zhu F,An Y,Qin L,Lv J,Zhao X,Shen J

doi

10.6133/apjcn.202003_29(1).0006

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

41-47

issue

1

eissn

0964-7058

issn

1440-6047

journal_volume

29

pub_type

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