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V. Gawlik
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ANO
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4
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del verze
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ANO, sn perorlnzt pooperaci je
mon
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Diet y t odleDoberskho
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Tento zpsobzat en pacienta
dietou po operacivych z zpoznatk
edicny polovinyinulho stolet
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Mme k dispozici nov j
dajena zkladmedicnyzalo en na dkazech ?
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Early enteral nutrition within 24h of colorectal surgery versus later
commencement of feeding for postoperative complications
Andersen HK, Lewis SJ,Thomas S
PLAIN LANGUAGE SUMMARY:
There isno obvious advantage in keeping patients nil by mouth followinggastrointestinal surgery, and thisreview support thenotion onearly
commencement. Specialy due to pronounced changes insurgicaltechnigues (introduction to laparoscopic surgery) which ismuch lessstressfull to thepatients.
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Early versus delayed oral fluids and food for reducing
complications after major abdominal gynaecologic surgery
Charoenkwan K, Phillipson G, Vutyavanich T
PLAIN LANGUAGE SUMMARY:
On the first day aftermajorgynecological surgery womenmay safely start
drinking andeating.
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BMJ. 2001 Oct 6;323(7316):773-6.Early enteral feeding versus "nil by mouth" after gastrointestinal
surgery: systematic review and meta-analysis of controlled trials.Lewis SJ, EggerM, SylvesterPA, Thomas S.Department ofMedicine,Addenbrooke's Hospital,Cambridge
System
atic review andm
eta-
analysis ofrandom
ised controlled trialscomparing any type ofenteral feeding started within24 hours aftersurgery with nil by mouth management inelective gastrointestinal surgery.
MAIN OUTCOME MEASURES:Anastomotic dehiscence, infection of anytype, wound infection,pneumonia, intra-abdominal abscess, length ofhospital stay, andmortality.
CONCLUSIONS:Thereseems to beno clearadvantage to keepingpatientsnil by mouth afterelective gastrointestinal resection. Early feedingmay be of benefit.
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J Clin Nurs. 2006 Jun;15(6):696-709.Evidence for early oral feeding of patients after elective open colorectal
surgery: a literature review.Ng WQ,Neill J.Alexandra Hospital, Singapore
CONCLUSIONS:Thisreview supportsearly oral feeding afterelective,open colorectal surgery and challenges the traditional practice of fastingpatients until return of bowel function. Early feeding wassafe, well-tolerated andeasy to implement. Reduced length of ileus andshorter
hospitalization may occurwith multimodal protocols.
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Ann Surg. 1995 Jul;222(1):73-7.Is early oral feeding safe after elective colorectal surgery? A prospective
randomized trial.Reissman P, Teoh TA, Cohen SM, WeissEG, Nogueras JJ, WexnerSD.Department ofColorectal Surgery,ClevelandClinic Florida, Fort Lauderdale,Florida, USA.
CONCLUSION:Early oral feeding afterelective colorectal surgery issafe and can be tolerated by themajority ofpatients. Thus, it maybecome a routine feature ofpostoperativemanagement in thesepatients.
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Am J Obstet Gynecol. 2002May;186(5):861-5.A randomized controlled trial of early versus "traditional" postoperative
oral intake after major abdominal gynecologic surgery.Steed HL, Capstick V, Flood C, SchepanskyA, Schulz J, Mayes DC.Department ofObstetrics and Gynecology, University ofAlberta,Edmonton,Canada
CONCLUSION:Early postoperativedietary advancement aftermajorabdominal gynecologic surgery results in a decreased length of hospital stayand appears to besafe, with no increased adverseeffects.
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Ann Surg Oncol. 2001 Dec;8(10):796-800.Early postoperative oral feeding after colectomy: an analysis of
factors that may predict failure.Petrelli NJ, Cheng C, Driscoll D, Rodriguez-Bigas MA.Division of Surgical Oncology, Roswell Park Cancer Institute, StateUniversity ofNew York at Buffalo, USA
CONCLUSIONS:Early oral feeding issafe and feasible forpostcolectomypatients with a history of colorectal neoplasms.
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Ann Surg. 2008 May;247(5):721-9.Allowing normal food at will after major upper gastrointestinal surgery
does not increase morbidity: a randomized multicenter trial.Lassen K, Kjaeve J, Fetveit T,Tran G, Sigurdsson HK, Horn A, RevhaugA.Department of Gastrointestinal Surgery, University Hospital NorthernNorway,Troms,Norway
CONCLUSIONS:Allowing patients to eat normal food at will from the firstday aftermajorupperGIsurgery doesnot increasemorbidity comparedwith traditional care with nil-by-mouth andenteral feeding.
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Reevaluating Resumption of Oral Intake After Abdominoplasty
Sameer S. Jejurikar, MD, Michael J. Orseck, MD, Alan Matarasso, MD
Department of Plastic Surgery,ManhattanEye,Ear& Throat Hospital,New York,NY.
Conclusions Early feeding afterabdominoplasty didnot lead to anincreased incidence of PONV, increased use of antiemetic medications,ordelayedreturn of bowel sounds. Inroutine abdominoplasties,early
feedingmay permit patients to sustain adequate hydration andpossiblyallow forearlierdischarge.
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Clin Nutr. 2009 Feb;28(1):29-33. Epub 2008 Dec 6.To eat or not to eat: facilitating early oral intake after elective colonic
surgery in the Netherlands.Maessen JM, HoffC, Jottard K, KesselsAG, Bremers AJ, HavengaK, Oostenbroek RJ, von Meyenfeldt MF, Dejong CH; Dutch BreakthroughProject Perioperative Care; ERAS Group.
METHODS: In2
006, twenty-six
D
utch hospitalssigned up to a "breakthroughproject" concerning the implementation of theenhancedrecovery aftersurgery (ERAS) programme with early oral feeding as one of the keyelements.RESULTS: Patients treated according to theERAS programme wereeating3daysearlierthan thepatients traditionally treated(p
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` PUBMED- nrodn lkask knihovna USA
www.pubmed.com
` The Cochrane Librarywww.thecochranelibrary.com
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Nen sprvn, aby nai pacientizbyten hladovli jak ped, tak i
po operaci.
imeseradji akt lnmstavem pacienta ne ri idnmschmatem
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Za 2 hodiny po operaci mohou pacienti pttekutiny, veerjogurt nebo polvku (dletolerance)
Odprvnho pooperanho dne je u vtiny
pacientm
o n
etc dieta (slo2
),spihldnutm k aktulnmu klinickmu stavu
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