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01-09-2018 | Original Article

Effect of early oral feeding on length of hospital stay following gastrectomy for gastric cancer: a Japanese multicenter, randomized controlled trial

Authors: Nobuyuki Shimizu, Eiji Oki, Yutaka Tanizawa, Yutaka Suzuki, Susumu Aikou, Chikara Kunisaki, Takashi Tsuchiya, Ryoji Fukushima, Yuichiro Doki, Shoji Natsugoe, Yasunori Nishida, Masaru Morita, Naoki Hirabayashi, Fumihiko Hatao, Ikuo Takahashi, Yasuhiro Choda, Yoshiaki Iwasaki, Yasuyuki Seto

Published in: Surgery Today | Issue 9/2018

Abstract

Purpose

This multicenter, randomized controlled study evaluates the safety of early oral feeding following gastrectomy, and its effect on the length of postoperative hospital stay.

Methods

The subjects of this study were patients who underwent distal gastrectomy (DG) or total gastrectomy (TG) for gastric cancer between January 2014 and December 2015. Patients were randomly assigned to the early oral feeding group (intervention group) or the conventional postoperative management group (control group) for each procedure. We evaluated the length of postoperative hospital stay and the incidence of postoperative complications in each group.

Results

No significant differences in length of postoperative stay were found between the intervention and control groups of the patients who underwent DG. The incidence of postoperative complications was significantly greater in the DG intervention group. In contrast, the length of postoperative stay was significantly shorter in the TG intervention group, although the TG group did not attain the established target sample size.

Conclusion

Early oral feeding did not shorten the postoperative hospital stay after DG. The higher incidence of postoperative complications precluded the unselected adoption of early oral feeding for DG patients. Further confirmative studies are required to definitively establish the potential benefits of early oral feeding for TG patients.

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Title: Effect of early oral feeding on length of hospital stay following gastrectomy for gastric cancer: a Japanese multicenter, randomized controlled trial
Authors: Nobuyuki Shimizu
Eiji Oki
Yutaka Tanizawa
Yutaka Suzuki
Susumu Aikou
Chikara Kunisaki
Takashi Tsuchiya
Ryoji Fukushima
Yuichiro Doki
Shoji Natsugoe
Yasunori Nishida
Masaru Morita
Naoki Hirabayashi
Fumihiko Hatao
Ikuo Takahashi
Yasuhiro Choda
Yoshiaki Iwasaki
Yasuyuki Seto
Publication date: 01-09-2018
Publisher: Springer Singapore
Published in: Surgery Today / Issue 9/2018
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-018-1665-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Effect of early oral feeding on length of hospital stay following gastrectomy for gastric cancer: a Japanese multicenter, randomized controlled trial

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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