Faster recovery and bowel movement after early oral feeding compared to late oral feeding after upper GI tumor resections: a meta-analysis

Bibliographic Details
Title: Faster recovery and bowel movement after early oral feeding compared to late oral feeding after upper GI tumor resections: a meta-analysis
Authors: Dóra Lili Sindler, Péter Mátrai, Lajos Szakó, Dávid Berki, Gergő Berke, Armand Csontos, Csenge Papp, Péter Hegyi, András Papp
Source: Frontiers in Surgery, Vol 10 (2023)
Publisher Information: Frontiers Media S.A., 2023.
Publication Year: 2023
Collection: LCC:Surgery
Subject Terms: early oral feeding (EOF), upper GI surgery, meta-analysis, upper GI cancer, Eras, Surgery, RD1-811
More Details: BackgroundThere were more than 1 million new cases of stomach cancer concerning oesophageal cancer, there were more than 600,000 new cases of oesophageal cancer in 2020. After a successful resection in these cases, the role of early oral feeding (EOF) was questionable, due to the possibility of fatal anastomosis leakage. It is still debated whether EOF is more advantageous compared to late oral feeding. Our study aimed to compare the effect of early postoperative oral feeding and late oral feeding after upper gastrointestinal resections due to malignancy.MethodsTwo authors performed an extensive search and selection of articles independently to identify randomized control trials (RCT) of the question of interest. Statistical analyses were performed including mean difference, odds ratio with 95% confidence intervals, statistical heterogeneity, and statistical publication bias, to identify potential significant differences. The Risk of Bias and the quality of evidence were estimated.ResultsWe identified 6 relevant RCTs, which included 703 patients. The appearance of the first gas (MD = −1.16; p = 0.009), first defecation (MD = −0.91; p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2296-875X
Relation: https://www.frontiersin.org/articles/10.3389/fsurg.2023.1092303/full; https://doaj.org/toc/2296-875X
DOI: 10.3389/fsurg.2023.1092303
Access URL: https://doaj.org/article/3e9553fa72f740668b410a7740e3d5e6
Accession Number: edsdoj.3e9553fa72f740668b410a7740e3d5e6
Database: Directory of Open Access Journals
More Details
ISSN:2296875X
DOI:10.3389/fsurg.2023.1092303
Published in:Frontiers in Surgery
Language:English