Effect of direct oral feeding following minimally invasive esophagectomy on costs and quality of life

Pattamatta, Madhuri; Fransen, Laura F C; Dolmans-Zwartjes, Annemarie C P; Nieuwenhuijzen, Grard A. P.; Evers, Silvia M. A. A.; Kouwenhoven, Ewout A.; Det, Marc J. van; Hiligsmann, Mickaël; Luyer, Misha

doi:10.1080/13696998.2020.1859843

Cited by 9 publications

(15 citation statements)

References 34 publications

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“…This implies that measures of QoL could be used in combination with other type of instruments to improve coverage, sensitivity, and specificity. For instance, as EORTC QLQ‐OG25, QLQ‐OES18, QLQ‐OES24, and QLQ‐H&N35 included only items relative to physical symptoms, they could be used to supplement the EORTC QLQ‐C30 as specific modules to address the patient status 27,33,35 …”

Section: Discussionmentioning

confidence: 99%

Quality of life assessment instruments in adult patients receiving home parenteral and enteral nutrition: A scoping review

et al. 2022

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Quality of life (QoL) assessment is important to evaluate the effect of the intervention for patients treated with home parenteral and enteral nutrition (HPEN). The purpose of this scoping review is to describe, evaluate, and recommend QoL instruments used in adult patients receiving HPEN. We used the Arksey and O'Malley framework and performed literature searches in five databases (PubMed, CINAHL, EMBASE, Web of Science, and Cochrane Library) to identify possibly relevant articles that focused on QoL of adult patients receiving HPEN. Of the studies that qualify for full-text screening, two independent researchers extracted data. Twenty-seven QoL instruments were identified, consisting of seven generic instruments, 12 disease-specific instruments, and eight therapy-specific instruments. The Short Form-36 was the most widely used generic instrument and the European Organization for Research and Treatment of Cancer QLQ-C30 was the most commonly employed disease-specific instrument. The recently developed therapy-specific tools, NutriQoL and HPN-QoL, were increasingly employed in studies either alone or in combination with other types of instruments. Important aspects of each instrument were summarized to aid clinicians and researchers in selecting an appropriate instrument when measuring the QoL of adult HPEN patients. Findings could also help to identify the necessity to develop new tools or to modify pre-existing ones to measure QoL of HPEN patients.

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Section: Discussionmentioning

confidence: 99%

Quality of life assessment instruments in adult patients receiving home parenteral and enteral nutrition: A scoping review

et al. 2022

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“…Больных разделили на две группы: пациенты основной группы (n=30) получали раннее (с первого послеоперационного дня) пероральное питание; пациенты контрольной (n=30) -классическую схему нутритивной поддержки (полное парентеральное питание в течение 4 послеоперационных дней). В основной группе отмечены достоверно более раннее отхождение газов (2 дня против 4 в группе контроля, р=0,000042) и появление стула (3 дня против 5 в группе контроля, р=0,000004) после операции, а также тенденция к снижению длительности послеоперационной госпитализации (8 дней против 9 в группе контроля, р=0, 13). Раннее пероральное питание не влияло на частоту (46,6 против 53,3% в группе контроля, р=0,66) и характер послеоперационных осложнений.…”

Section: влияние раннего перорального питания на нутритивный статус п...unclassified

“…Вопрос раннего перорального питания (РПП) пациентов после эзофагэктомии остаётся открытым. На данный момент в литературе имеются единичные работы по исследованию РПП, показывающие положительные результаты [13][14][15][16][17], однако ни в одной из работ не оценивался нутритивный статус пациентов при раннем питании через рот.…”

Section: обоснованиеunclassified

“…К функциональным методам оценки относят метаболический мониторинг с определением текущих энергетических затрат пациента. В среднем по группе РПП соотношение питательных элементов в смесях было следующим: белки 5,95 г/100 мл [5,, жиры 5,4 г/100 мл 8], углеводы 19,2 г/100 мл [18,[4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20], в контрольной группе -4,5 г/100 мл [3,6], 4 г/100 мл и 14,1 г/100 мл соответственно [12][13][14][15][16]…”

Section: описание медицинского вмешательстваunclassified

“…Внедрение РПП в малоинвазивной хирургии показало, что оно безопасно и не увеличивает количество послеоперационных осложнений [13][14][15][16][17]. Это подтверждает и наше исследование.…”

Section: обсуждение основных результатов исследованияunclassified

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The effect of early oral feeding after subtotal esophagectomy with immediate esophageal reconstruction on patients’ nutritional status: randomized single-center study

Kovalerova¹

2021

Clinical nutrition and metabolism

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Background: The efficiency of early oral feeding (EOF) in the postoperative period is well known. Though in the esophagus surgery doctors still prefer another types of nutritional support after esophagectomy (EE) with immediate gastric tube reconstruction. Aims: to improve the results of patients treatment after EE with gastric tube reconstruction by choosing the method of nutritional support and to evaluate nutritional status of the patients with EOF. Materials and methods: weve conducted prospective single-center randomized study. Subtotal esophagectomy with immediate gastric tube reconstruction was performed to 60 patients. In the postoperative period we evaluated the results of treatment, the frequency and severity of complications, as well as anthropometric and laboratory indicators of the nutritional status before the operation, on 1, 3 and 6 postoperative day (POD). Results: Patients without high risk of malnutrition were randomly divided in 2 groups: main group (n=30) starting EOF on the 1 POD and control group (n=30) that remained nil by mouth and got parenteral feeding within 4 POD. The patients of EOF group had statistically significant earlier gas discharge (2[2;3] POD vs 4[3;6] POD, р = 0,000042) and stool appearance (3[2;4] POD vs 5[4;7] POD, р = 0,000004). There is a tendency of reduction of the duration of postoperative hospitalization in EOF group (8[7;9] POD vs 9[8;9] POD, р=0,13). EOF does not affect on frequency (46,6% vs 53,3%, р=0,66) and character of postoperative complications. After evaluation of the parameters of nutritional status we found statistically significant decrease of prealbumin level on 3 POD in EOF group (0,17 [0,13;0,21] vs 0,2 [0,16;0,34], р=0,03) of due to inability to compensate daily calorie needs in the first days after the operation. At 6 POD prealbumin became the same in both groups. There were no other significant differences between the groups. Conclusions: EOF after EE with immediate gastric tube reconstruction is safe and effective. EOF doesnt increase the frequency of anastomotic insufficiency and other complications.

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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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Effect of direct oral feeding following minimally invasive esophagectomy on costs and quality of life

Cited by 9 publications

References 34 publications

Quality of life assessment instruments in adult patients receiving home parenteral and enteral nutrition: A scoping review

Quality of life assessment instruments in adult patients receiving home parenteral and enteral nutrition: A scoping review

The effect of early oral feeding after subtotal esophagectomy with immediate esophageal reconstruction on patients’ nutritional status: randomized single-center study

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

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