EARLY REFEEDING AFTER COLORECTAL CANCER SURGERY REDUCES COMPLICATIONS AND LENGTH OF HOSPITAL STAY
ABSTRACT BACKGROUND: Multimodal protocols such as Acceleration of Total Postoperative Recovery and Enhanced Recovery After Surgery propose a set of pre- and post-operative care to accelerate the recovery of surgical patients. However, in clinical practice, simple care such as early refeeding and us...
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| Format: | Article |
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Colégio Brasileiro de Cirurgia Digestiva
2025-01-01
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| Series: | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202024000100340&lng=en&tlng=en |
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| author | Eliani Frizon José Eduardo de Aguilar-Nascimento Júlio Cesar Zanini Mariah Steinbach Roux Bruna Caroline de Lima Schemberg Pamela Luiza Tonello Diana Borges Dock-Nascimento |
| author_facet | Eliani Frizon José Eduardo de Aguilar-Nascimento Júlio Cesar Zanini Mariah Steinbach Roux Bruna Caroline de Lima Schemberg Pamela Luiza Tonello Diana Borges Dock-Nascimento |
| author_sort | Eliani Frizon |
| collection | DOAJ |
| description | ABSTRACT BACKGROUND: Multimodal protocols such as Acceleration of Total Postoperative Recovery and Enhanced Recovery After Surgery propose a set of pre- and post-operative care to accelerate the recovery of surgical patients. However, in clinical practice, simple care such as early refeeding and use of drains are often neglected by multidisciplinary teams. AIMS: Investigate whether early postoperative refeeding determines benefits in colorectal oncological surgery; whether the patients’ clinical conditions preoperatively and the use of a nasogastric tube and abdominal drain delay their recovery. METHODS: Retrospective cohort carried out at the Cascavel Uopeccan Cancer Hospital, including adult cancer patients (age ≥18 years), from the Unified Health System (SUS), who underwent colorectal surgeries from January 2018 to December 2021. RESULTS: 275 patients were evaluated. Of these, 199 (75.4%) were refed early. Late refeeding (odds ratio — OR=2.1; p=0.024), the use of nasogastric tube (OR=2.72; p=0.038) and intra-abdominal drain (OR=1.95; p=0.054) increased the chance of infectious complication. Multivariate analysis showed that receiving a late postoperative diet is an independent risk factor for infectious complications. Late refeeding (p=0.006) after the operation and the placement of an intra-abdominal drain (p=0.007) are independent risk factors for remaining hospitalized for more than five days postoperatively. CONCLUSIONS: Refeeding early in the postoperative period reduces the risk of infectious complications. Using abdominal drains and refeeding late (>48h) for cancer patients undergoing colorectal surgery are risk factors for hospital stays longer than five days. |
| format | Article |
| id | doaj-art-c3053bf2cde247058ac8e74cd1effa46 |
| institution | Kabale University |
| issn | 0102-6720 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Colégio Brasileiro de Cirurgia Digestiva |
| record_format | Article |
| series | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
| spelling | doaj-art-c3053bf2cde247058ac8e74cd1effa462025-01-21T07:43:51ZengColégio Brasileiro de Cirurgia DigestivaABCD: Arquivos Brasileiros de Cirurgia Digestiva0102-67202025-01-013710.1590/0102-6720202400060e1854EARLY REFEEDING AFTER COLORECTAL CANCER SURGERY REDUCES COMPLICATIONS AND LENGTH OF HOSPITAL STAYEliani Frizonhttps://orcid.org/0000-0001-5197-3206José Eduardo de Aguilar-Nascimentohttps://orcid.org/0000-0002-3583-6612Júlio Cesar Zaninihttps://orcid.org/0000-0002-0230-4775Mariah Steinbach Rouxhttps://orcid.org/0009-0004-3942-3155Bruna Caroline de Lima Schemberghttps://orcid.org/0009-0007-5077-7781Pamela Luiza Tonellohttps://orcid.org/0009-0009-0087-6663Diana Borges Dock-Nascimentohttps://orcid.org/0000-0003-0205-6676ABSTRACT BACKGROUND: Multimodal protocols such as Acceleration of Total Postoperative Recovery and Enhanced Recovery After Surgery propose a set of pre- and post-operative care to accelerate the recovery of surgical patients. However, in clinical practice, simple care such as early refeeding and use of drains are often neglected by multidisciplinary teams. AIMS: Investigate whether early postoperative refeeding determines benefits in colorectal oncological surgery; whether the patients’ clinical conditions preoperatively and the use of a nasogastric tube and abdominal drain delay their recovery. METHODS: Retrospective cohort carried out at the Cascavel Uopeccan Cancer Hospital, including adult cancer patients (age ≥18 years), from the Unified Health System (SUS), who underwent colorectal surgeries from January 2018 to December 2021. RESULTS: 275 patients were evaluated. Of these, 199 (75.4%) were refed early. Late refeeding (odds ratio — OR=2.1; p=0.024), the use of nasogastric tube (OR=2.72; p=0.038) and intra-abdominal drain (OR=1.95; p=0.054) increased the chance of infectious complication. Multivariate analysis showed that receiving a late postoperative diet is an independent risk factor for infectious complications. Late refeeding (p=0.006) after the operation and the placement of an intra-abdominal drain (p=0.007) are independent risk factors for remaining hospitalized for more than five days postoperatively. CONCLUSIONS: Refeeding early in the postoperative period reduces the risk of infectious complications. Using abdominal drains and refeeding late (>48h) for cancer patients undergoing colorectal surgery are risk factors for hospital stays longer than five days.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202024000100340&lng=en&tlng=enEnhanced recovery after surgeryColonFastingLength of stayPostoperative care |
| spellingShingle | Eliani Frizon José Eduardo de Aguilar-Nascimento Júlio Cesar Zanini Mariah Steinbach Roux Bruna Caroline de Lima Schemberg Pamela Luiza Tonello Diana Borges Dock-Nascimento EARLY REFEEDING AFTER COLORECTAL CANCER SURGERY REDUCES COMPLICATIONS AND LENGTH OF HOSPITAL STAY ABCD: Arquivos Brasileiros de Cirurgia Digestiva Enhanced recovery after surgery Colon Fasting Length of stay Postoperative care |
| title | EARLY REFEEDING AFTER COLORECTAL CANCER SURGERY REDUCES COMPLICATIONS AND LENGTH OF HOSPITAL STAY |
| title_full | EARLY REFEEDING AFTER COLORECTAL CANCER SURGERY REDUCES COMPLICATIONS AND LENGTH OF HOSPITAL STAY |
| title_fullStr | EARLY REFEEDING AFTER COLORECTAL CANCER SURGERY REDUCES COMPLICATIONS AND LENGTH OF HOSPITAL STAY |
| title_full_unstemmed | EARLY REFEEDING AFTER COLORECTAL CANCER SURGERY REDUCES COMPLICATIONS AND LENGTH OF HOSPITAL STAY |
| title_short | EARLY REFEEDING AFTER COLORECTAL CANCER SURGERY REDUCES COMPLICATIONS AND LENGTH OF HOSPITAL STAY |
| title_sort | early refeeding after colorectal cancer surgery reduces complications and length of hospital stay |
| topic | Enhanced recovery after surgery Colon Fasting Length of stay Postoperative care |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202024000100340&lng=en&tlng=en |
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