Key result
Early semiliquid diet accelerates regular diet resumption but increases nausea versus clear feeds.
Why the study?
The safety and efficacy of early oral intake after major intra-abdominal gynecological oncology surgery needed to be explored and evaluated.
Does a semiliquid diet 6 hours after operation improve recovery and nutritional status compared to clear feeds in gynecological oncology patients undergoing major intra-abdominal surgery?
RCT (n=60)
Does a semiliquid diet 6 hours after operation improve recovery and nutritional status compared to clear feeds in gynecological oncology patients undergoing major intra-abdominal surgery?
Early oral intake with a semiliquid diet 6 hours after major intra-abdominal gynecological oncology surgery is safe and well tolerated, leading to faster resumption of regular diet and improved prealbumin levels despite a higher incidence of nausea.
Early semiliquid intake at 6 hours appears safe and tolerated; leaves open confirmation of nutritional benefits in larger gynecologic oncology trials.
To explore and evaluate the safety and efficacy of early oral intake following major abdominal gynecological oncology surgery. During an 11-month period, 60 gynecological oncology patients undergoing major intra-abdominal surgery were enrolled in a randomized controlled clinical trial of semiliquid diet (experimental group) compared with clear feeds (control group) 6 hours after operation. Patients were evaluated for nausea, vomiting, bowel sound, passage of flatus, body weight difference before and after operation, urine acetone, fasting blood sugar, and prealbumin level, and need for nasogastric tube decompression. There were significantly higher incidences of nausea, shorter time of regular diet resumption, and higher level of prealbumin on postoperative day 7 in patients from the experimental group than those from the control group (P < .05). No significant differences were found in vomiting, the time to development of bowel sound and passage of flatus, body weight difference before and after operation, urine acetone and fasting blood sugar on postoperative day 1, and prealbumin level on postoperative day 2 between the 2 groups. Early oral intake with semiliquid diet 6 hours after major intra-abdominal gynecological oncology surgery is safe and well tolerated.
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Feng et al. (2008) conducted an RCT in Gynecological oncology (n=60). Semiliquid diet 6 hours after operation vs. Clear feeds 6 hours after operation was evaluated on Nausea, vomiting, bowel sound, passage of flatus, body weight difference, urine acetone, fasting blood sugar, prealbumin level, and need for nasogastric tube decompression (p=< .05). Early oral intake with a semiliquid diet 6 hours after major gynecological oncology surgery resulted in higher incidences of nausea but shorter time to regular diet resumption (P < .05).
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