PMID: 8607572Mar 1, 1996Paper

The clear liquid diet is no longer a necessity in the routine postoperative management of surgical patients

The American Surgeon
K M JefferyR G Martindale

Abstract

The reinstitution of oral intake in patients who have undergone intra-abdominal surgery has traditionally progressed in a stepwise fashion. Various retrospective studies and anecdotal reports have suggested that a "regular" diet as the first postoperative meal is well tolerated. Although clear liquids are accepted as the standard first postoperative meal, there appears to be little scientific data to support their use. The current study was undertaken to determine whether there is any difference in tolerance to clear liquids versus a regular diet as the first postoperative oral intake. This study is not intended to suggest that clear liquid diets harm patients but to attempt to support our hypothesis that a regular diet as the first postoperative meal is not associated with and increased morbidity. A total of 241 patients undergoing abdominal operations were prospectively randomized to receive either routine clear liquids (N=135) or regular diet (N=106) as the first oral intake. They were followed for any symptoms or signs of dietary intolerance. The group receiving a regular diet was not found to have any statistically significant increase in dietary intolerance in comparison with the clear liquid group. Nutritional data colle...Continue Reading

Citations

Aug 1, 2002·Current Gastroenterology Reports·Susan HancockRobert Martindale
Jan 6, 2012·Critical Care : the Official Journal of the Critical Care Forum·Matthew E Cove, Michael R Pinsky
May 21, 2008·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·UNKNOWN Allied Health Sciences Section Ad Hoc Nutrition CommitteeJulie Parrott
Jun 8, 2017·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·M RattrayB Desbrow

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