Key result
Early feeding after major non-laparoscopic gynaecological surgery did not increase gastrointestinal symptoms compared to conventional postoperative dietary management.
Why the study?
Does an early low residue diet prevent postoperative ileus or other gastrointestinal symptoms in women undergoing major non-laparoscopic gynaecological surgery?
RCT (n=150)
Open-label
Randomised
No
Does an early low residue diet prevent postoperative ileus or other gastrointestinal symptoms in women undergoing major non-laparoscopic gynaecological surgery?
Early feeding with a low residue diet within 6 hours after major non-laparoscopic gynecological surgery is safe and does not increase gastrointestinal symptoms compared to conventional dietary management.
Supports early low-residue feeding within 6 hours after major non-laparoscopic gynecological surgery; extends RCT evidence on postoperative nutrition safety.
MacMillan SL, Kammerer-Doak D, Rogers RG , et al. Early feeding and the incidence of gastrointestinal symptoms after major gynecologic surgery. Obstet Gynecol2000 Oct; 96 : 604 –8 [OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4] QUESTION: Is an early low residue diet after major non-laparoscopic gynaecological surgery for benign indications associated with increased postoperative ileus or other gastrointestinal symptoms when compared with conventional postoperative dietary management? Randomised (unclear allocation concealment), unblinded, controlled trial with follow up at hospital discharge. A university hospital in Albuquerque, New Mexico, USA. 150 women who had major abdominal or vaginal non-laparoscopic gynaecological surgery for benign indications. Exclusion criteria were history of malignancy, inflammatory bowel disease or obstruction, or current or previous surgery involving extensive lysis of bowel adhesions. 93% of women (46% white, 36% Hispanic) were included in the final analysis. 67 women received early feeding and were offered a low residue diet within 6 hours of arrival … [1]: {openurl}?query=rft.jtitle%253DObstetrics%2B%2526%2BGynecology%26rft.stitle%253DObstet%2BGynecol%26rft.aulast%253DMACMILLAN%26rft.auinit1%253DS.%2BL.%2BM.%26rft.volume%253D96%26rft.issue%253D4%26rft.spage%253D604%26rft.epage%253D608%26rft.atitle%253DEarly%2Bfeeding%2Band%2Bthe%2Bincidence%2Bof%2Bgastrointestinal%2Bsymptoms%2Bafter%2Bmajor%2Bgynecologic%2Bsurgery.%26rft_id%253Dinfo%253Adoi%252F10.1016%252FS0029-7844%252800%252900957-1%26rft_id%253Dinfo%253Apmid%252F11004367%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10.1016/S0029-7844(00)00957-1&link_type=DOI [3]: /lookup/external-ref?access_num=11004367&link_type=MED&atom=%2Febnurs%2F4%2F2%2F49.atom [4]: /lookup/external-ref?access_num=000089584800023&link_type=ISI
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A 2001 study conducted an RCT in Major non-laparoscopic gynaecological surgery for benign indications (n=150). Early feeding (low residue diet) vs. Conventional postoperative dietary management was evaluated on Postoperative ileus or other gastrointestinal symptoms. Early feeding after major non-laparoscopic gynaecological surgery did not increase gastrointestinal symptoms compared to conventional postoperative dietary management.
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