A systematic review of feeding practices among postoperative patients: is practice in‐line with evidenced‐based guidelines?

A systematic review of feeding practices among postoperative patients: is practice in‐line with... IntroductionThe traditional postoperative feeding approach dictates fasting patients until the return of bowel function (e.g. passage of flatus and/or stool or bowel sounds) . This approach was designed to avoid paralytic ileus (leading to vomiting, aspiration pneumonia and wound dehiscence) and/or anastomotic leakage thought to occur if fed prematurely . However, there is little evidence to suggest that these adverse outcomes are likely to occur, particularly following nongastrointestinal surgeries . Traditional postoperative feeding results in substantial periods of avoidable inadequate nutritional intake among patients who may already be at nutritional risk, and who require optimal nutrition for recovery and prevention of complications . Malnutrition is a prevalent problem among surgical patients as a result of factors preceding (e.g. diseased state, preoperative dietary practices) and following surgery (e.g. postoperative symptoms and dietary practices) .By contrast to traditional beliefs, recent evidence indicates early oral or enteral feeding (i.e. within 24 h after surgery) is safe and beneficial to adult, noncritically ill, postoperative patients . Early oral feeding has been associated with a faster recovery of intestinal function (i.e. resolution of ileus) , reduced morbidity (e.g. less infectious complications and improved wound healing and immunity) and improved quality of life (e.g. patient satisfaction http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Human Nutrition & Dietetics Wiley

A systematic review of feeding practices among postoperative patients: is practice in‐line with evidenced‐based guidelines?

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Publisher
Wiley
Copyright
© 2018 The British Dietetic Association Ltd
ISSN
0952-3871
eISSN
1365-277X
D.O.I.
10.1111/jhn.12486
Publisher site
See Article on Publisher Site

Abstract

IntroductionThe traditional postoperative feeding approach dictates fasting patients until the return of bowel function (e.g. passage of flatus and/or stool or bowel sounds) . This approach was designed to avoid paralytic ileus (leading to vomiting, aspiration pneumonia and wound dehiscence) and/or anastomotic leakage thought to occur if fed prematurely . However, there is little evidence to suggest that these adverse outcomes are likely to occur, particularly following nongastrointestinal surgeries . Traditional postoperative feeding results in substantial periods of avoidable inadequate nutritional intake among patients who may already be at nutritional risk, and who require optimal nutrition for recovery and prevention of complications . Malnutrition is a prevalent problem among surgical patients as a result of factors preceding (e.g. diseased state, preoperative dietary practices) and following surgery (e.g. postoperative symptoms and dietary practices) .By contrast to traditional beliefs, recent evidence indicates early oral or enteral feeding (i.e. within 24 h after surgery) is safe and beneficial to adult, noncritically ill, postoperative patients . Early oral feeding has been associated with a faster recovery of intestinal function (i.e. resolution of ileus) , reduced morbidity (e.g. less infectious complications and improved wound healing and immunity) and improved quality of life (e.g. patient satisfaction

Journal

Journal of Human Nutrition & DieteticsWiley

Published: Jan 1, 2018

Keywords: ; ; ;

References

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