Early oral feeding after esophagectomy accelerated gut function recovery by regulating brain-gut peptide secretion

Chen, Xiankai; Wang, Peiyu; Leng, Cathryn; Sun, Haibo; Liu, Xianben; Zhang, Ruixiang; Qin, Jianjun; Hua, Xionghuai; Yu, Yonghao; Li, Haomiao; Zhang, Jun; Wu, Zhao; Li, Yin

doi:10.1016/j.surg.2022.04.041

Cited by 6 publications

(1 citation statement)

References 28 publications

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“…Water is considered the mildest mechanical stimulus and adequate hydration is crucial for bodily functions [ 38 ]. Early water consumption can stimulate the oral cavity and gastrointestinal tract, promote the secretion of digestive juices through the neurohumoral reflex, increase gastrointestinal tract peristalsis, and promote the recovery of gastrointestinal function [ 39 , 40 ].…”

Section: Discussionmentioning

confidence: 99%

Timing of early water intake post-general anaesthesia: a systematic review and meta-analysis

Dai,

Chen,

et al. 2024

BMC Anesthesiol

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Background Early water intake has gained widespread attention considering enhanced recovery after surgery (ERAS). In the present systematic evaluation and meta-analysis, we assessed the effects of early water intake on the incidence of vomiting and aspiration in adult patients who received general anaesthesia on regaining consciousness during the resuscitation period. Objective To systematically analyse the results of randomised controlled trials on early postoperative water intake in patients who underwent different types of surgery under general anaesthesia, both at home and abroad, to further explore the safety and application of early water intake and provide an evidence-based foundation for clinical application. Design Systematic review and meta-analysis. Methods To perform the systematic evaluation and meta-analysis, we searched the Web of Science, CINAHL, Embase, PubMed, Cochrane Library, Sinomed, China National Knowledge Infrastructure (CNKI), Wanfang, and Vipshop databases to identify randomised controlled trial studies on early water intake in adult patients who received general anaesthesia. Results Herein, we included 10 publications with a total sample size of 5131 patients. Based on statistical analysis, there was no statistically significant difference in the incidence of vomiting (odds ratio [OR] = 0.81; 95% confidence interval [CI] [0.58–1.12]; p = 0.20; I-squared [I2] = 0%) and aspiration (OR = 0.78; 95%CI [0.45–1.37]; p = 0.40; I2 = 0%) between the two groups of patients on regaining consciousness post-general anaesthesia. Conclusion Based on the available evidence, early water intake after regaining consciousness post-anaesthesia did not increase the incidence of adverse complications when compared with traditional postoperative water abstinence. Early water intake could effectively improve patient thirst and facilitate the recovery of gastrointestinal function.

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Section: Discussionmentioning

confidence: 99%

Timing of early water intake post-general anaesthesia: a systematic review and meta-analysis

Dai,

Chen,

et al. 2024

BMC Anesthesiol

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Optimal time to initiate early oral feeding in postoperative patients with upper gastrointestinal malignancy: A network meta-analysis

Guo,

Zhong,

Jin

et al. 2024

International Journal of Nursing Studies

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Contemporary Perioperative Nutritional Care

Ljungqvist,

Weimann,

Sandini

et al. 2024

Annual Review of Nutrition

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Over the last decades, surgical complication rates have fallen drastically. With the introduction of new surgical techniques coupled with specific evidence-based perioperative care protocols, patients today run half the risk of complications compared with traditional care. Many patients who in previous years needed weeks of hospital care now recover and can leave in days. These remarkable improvements are achieved by using nutritional stress-reducing care elements for the surgical patient that reduce metabolic stress and allow for the return of gut function. This new approach to nutritional care and how it is delivered as an integral part of enhancing recovery after surgery are outlined in this review. We also summarize the new and increased understanding of the effects of the routes of delivering nutrition and the role of the gut, as well as the current recommendations for artificial nutritional support.

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Early oral feeding after esophagectomy accelerated gut function recovery by regulating brain-gut peptide secretion

Cited by 6 publications

References 28 publications

Timing of early water intake post-general anaesthesia: a systematic review and meta-analysis

Timing of early water intake post-general anaesthesia: a systematic review and meta-analysis

Optimal time to initiate early oral feeding in postoperative patients with upper gastrointestinal malignancy: A network meta-analysis

Contemporary Perioperative Nutritional Care

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