Safety and patient satisfaction of early diet after endoscopic submucosal dissection for gastric epithelial neoplasia: a prospective, randomized study

Surgical Endoscopy
Sunyong KimJun Chul Park

Abstract

Endoscopic submucosal dissection (ESD) is a standard treatment for gastric neoplasia limited to the mucosa without lymph node metastasis. However, there are neither standardized guidelines nor studies on the best time to start oral intake after ESD. The aim of this study was to compare patient satisfaction, safety, length of hospital stay, and economic feasibility between an early post-ESD diet and the conventional immediate fasting protocol. A total of 130 patients with 156 gastric epithelial neoplasias who underwent ESD by a single expert endoscopist were consecutively and prospectively enrolled. Enrolled patients were randomized to an early diet group or a control group. The early diet group started meals as a clear liquid diet on day 0, and a soft diet and general diet in sequence on day 1. The fasting group was fasted for 2 days. Patients in both groups underwent second-look endoscopy within 2 days following ESD and follow-up endoscopy after 2 months. In the course of the study, ten patients were excluded. The total number of patients in the early diet group and control group was 63 and 57, respectively. Mean age was 62 years (±9.4). There were no significant differences in clinicopathologic conditions or endoscopic result...Continue Reading

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Citations

Sep 12, 2015·Mayo Clinic Proceedings·Atsushi SoritaDeanne T Kashiwagi
Jun 28, 2016·Gastrointestinal Endoscopy·Diogo LibânioMário Dinis-Ribeiro
Jun 28, 2018·American Journal of Rhinology & Allergy·Ahmad K Abubaker, Mohannad A Al-Qudah
Jan 18, 2019·Einstein·Wesley Santana Correa-ArrudaDiana Borges Dock-Nascimento
Jun 16, 2021·Journal of Gastroenterology and Hepatology·Hidenori KimuraHiroyuki Ono
Sep 19, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Sheau Wen KanTung-Yao Tsai

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