Effect of Early Postoperative Feeding on the Recovery of Children Post Appendectomy

Rızalar, Selda; Özbaş, Ayfer

doi:10.1097/sga.0000000000000279

Cited by 7 publications

(5 citation statements)

References 22 publications

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“…Several reports have used the VAS to evaluate the degree of thirst in pediatric patients. However, the appropriate VAS method for pediatric patients aged ≤ 10 yr has not been fully established ( 20 , 21 , 22 , 23 ). Based on our experience with the present case, we identified two important factors when using the VAS to evaluate OTT in pediatric patients.…”

Section: Discussionmentioning

confidence: 99%

Potential indication of chemotherapy for hypodipsia and arginine vasopressin deficiency secondary to hypothalamic-pituitary Langerhans cell histiocytosis: a case report and literature review

Ota,

Sato,

Nakano

et al. 2024

Clin Pediatr Endocrinol

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Hypothalamic-pituitary Langerhans cell histiocytosis (HP-LCH) is often associated with arginine vasopressin deficiency (AVD). Patients with AVD caused by HP-LCH rarely develop an impaired osmotic threshold for thirst (OTT). Improvement in OTT among such patients has not been reported in the literature. To our knowledge, here we report the first case of AVD due to HP-LCH in which hypodipsia resolved during chemotherapy. A nine-year-old Japanese girl presented with polydipsia, polyuria, anorexia, and hypernatremia (149.8 mEq/L) and was diagnosed with AVD secondary to HP-LCH. Visual analog scale examination showed a reduced OTT following the water deprivation test. During chemotherapy for Langerhans cell histiocytosis (LCH), serum sodium concentrations became stable between 138.9 and 142.9 mEq/L under the replacement of desmopressin. Repeated visual analog scale examinations showed that she experienced a sense of thirst at a serum sodium concentration of 142.3-144.6 mEq/L, at which she did not experience any thirst prior to the initiation of chemotherapy. These data suggest that chemotherapy directly improved the OTT in our patient. Improved mechanical compression or infiltration of the hypothalamus related to OTT may lead to the recovery of the sense of thirst. This report highlights the potential role of chemotherapy for solitary HP-LCH in patients with hypodipsia and AVD.

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Section: Discussionmentioning

confidence: 99%

Potential indication of chemotherapy for hypodipsia and arginine vasopressin deficiency secondary to hypothalamic-pituitary Langerhans cell histiocytosis: a case report and literature review

Ota,

Sato,

Nakano

et al. 2024

Clin Pediatr Endocrinol

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“…Comprehensive postoperative planning, which includes aspects like nutrition, excretory mobilization, and pain relief, is pivotal for recovery 5,10,22,23 and can reduce the duration of hospitalization. 24 It is crucial to initiate nutrition early, and this decision should be based on the perforation status. 25 In our study, feeding began on the first postoperative day.…”

Section: Discussionmentioning

confidence: 99%

Healing Factors in Perforated and Unperforated Pediatric Appendectomies: A Descriptive Study

Şimşek

2023

J Clin Pract Res

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Objective: Appendicitis is the most common surgical emergency in childhood and requires urgent intervention. The goal of this research was to identify the factors influencing healing in perforated and non-perforated appendectomy procedures. Materials and Methods: This descriptive research involved 75 children who underwent appendectomy. Information was collected during the preoperative and postoperative stages using a data collection form and a pain assessment scale. Both parents and children hospitalized with appendicitis contributed to this information. Results: The primary complaints leading children to the hospital were nausea and vomiting, which started, on average, 2.7 days prior to admission. While 96% of the children underwent open surgery, 77.3% presented with non-perforated appendicitis. Feeding was ceased 9 hours pre-operation and recommenced in the 15 th postoperative hour. A significant difference was noted between perforation status and discharge time. Factors influencing healing included the length of hospital stay, perforation status, preoperative information, time of postoperative oral feeding initiation, and intravenous fluid therapy. Conclusion:The study suggests that early feeding, mobilization, and patient counseling can reduce pain and expedite recovery and discharge.

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“…Furthermore, satisfaction with the fasting protocol was greater for the ERAS group than for the conventional group. Other published studies have also reported benefits of a shorter duration of perioperative fasting on patient comfort[ 25 - 27 ].…”

Section: Discussionmentioning

confidence: 99%

“…Postoperative fasting can induce discomfort and anxiety in children due to thirst and hunger. Furthermore, early postoperative feeding in children has been reported to reduce the levels of hunger, thirst, and pain, shorten the time to first flatus/stool, and decrease infection rates, without increasing the incidence of vomiting[ 25 - 27 ]. Nevertheless, most hospitals still abide by the strategy of restricting food intake until ≥ 6 h after surgery.…”

Section: Introductionmentioning

confidence: 99%

Enhanced recovery after surgery strategy to shorten perioperative fasting in children undergoing non-gastrointestinal surgery: A prospective study

Xu¹,

Han²

2022

WJCC

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BACKGROUND Enhanced recovery after surgery strategies are increasingly implemented to improve the management of surgical patients. AIM To evaluate the effects of new perioperative fasting protocols in children ≥ 3 mo of age undergoing non-gastrointestinal surgery. METHODS This prospective pilot study included children ≥ 3 mo of age undergoing non-gastrointestinal surgery at the Children’s Hospital (Zhejiang University School of Medicine) from January 2020 to June 2020. The children were divided into either a conventional group or an ERAS group according to whether they had been enrolled before or after the implementation of the new perioperative fasting strategy. The children in the conventional group were fasted using conventional strategies, while those in the ERAS group were given individualized fasting protocols preoperatively (6-h fasting for infant formula/non-human milk/solids, 4-h fasting for breast milk, and clear fluids allowed within 2 h of surgery) and postoperatively (food permitted from 1 h after surgery). Pre-operative and postoperative fasting times, pre-operative blood glucose, the incidence of postoperative thirst and hunger, the incidence of perioperative vomiting and aspiration, and the degree of satisfaction were evaluated. RESULTS The study included 303 patients (151 in the conventional group and 152 in the ERAS group). Compared with the conventional group, the ERAS group had a shorter pre-operative food fasting time [11.92 (4.00, 19.33) vs 13.00 (6.00, 20.28) h, P < 0.001), shorter preoperative liquid fasting time [3.00 (2.00, 7.50) vs 12.00 (3.00, 20.28) h, P < 0.001], higher preoperative blood glucose level [5.6 (4.2, 8.2) vs 5.1 (4.0, 7.4) mmol/L, P < 0.001], lower incidence of thirst (74.5% vs 15.3%, P < 0.001), shorter time to postoperative feeding [1.17 (0.33, 6.83) vs 6.00 (5.40, 9.20), P < 0.001], and greater satisfaction [7 (0, 10) vs 8 (5, 10), P < 0.001]. No children experienced perioperative aspiration. The incidences of hunger, perioperative vomiting, and fever were not significantly different between the two groups. CONCLUSION Optimizing fasting and clear fluid drinking before non-gastrointestinal surgery in children ≥ 3 mo of age is possible. It is safe and feasible to start early eating after evaluating the recovery from anesthesia and the swallowing function.

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Effect of Early Postoperative Feeding on the Recovery of Children Post Appendectomy

Cited by 7 publications

References 22 publications

Potential indication of chemotherapy for hypodipsia and arginine vasopressin deficiency secondary to hypothalamic-pituitary Langerhans cell histiocytosis: a case report and literature review

Potential indication of chemotherapy for hypodipsia and arginine vasopressin deficiency secondary to hypothalamic-pituitary Langerhans cell histiocytosis: a case report and literature review

Healing Factors in Perforated and Unperforated Pediatric Appendectomies: A Descriptive Study

Enhanced recovery after surgery strategy to shorten perioperative fasting in children undergoing non-gastrointestinal surgery: A prospective study

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