The effect of diets delivered into the gastrointestinal tract on gut motility after colorectal surgery-a systematic review and meta-analysis of randomised controlled trials

European Journal of Clinical Nutrition
Sophie HoganSharon Carey

Abstract

Despite best practice guidelines, feeding methods after colorectal surgery vary due to the difficulties translating evidence into practice. The aim was to determine the effectiveness of diets delivered into the gastrointestinal tract (GIT) on gut motility following colorectal surgery. EMBASE, MEDLINE, CINAHL, Web of Science and PubMed were systematically searched. Randomised controlled trials investigating effectiveness of a diet on gut motility after colorectal surgeries were included. Outcomes included postoperative ileus, length of stay, mortality, nausea and vomiting. A total of 756 potential studies were identified; of these, 10 trials reporting on 1237 unique patients were included. There is evidence that early feeding reduces time (days) to first flatus (mean difference (MD):-0.64; 95% CI:-0.84 to -0.44) and bowel movements (MD:-0.64; 95% CI:-1.01 to -0.26), when compared to traditional postoperative fasting. Introducing solids versus the progression of fluids to solids had no effect on time (days) to first flatus (MD:0.13; 95% CI:-1.99 to 1.74) or bowel movement (MD:0.20; 95% CI:-0.50 to 0.98). Complete nutrition compared to hypocaloric nutrition had no effect on time to first flatus (MD:-0.60; 95% CI:-1.66 to 0.46) or ...Continue Reading

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Citations

Dec 1, 2020·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·David WattchowMarcello Costa
May 13, 2021·International Journal of Colorectal Disease·Nils P SommerTim O Vilz
Apr 23, 2021·JPEN. Journal of Parenteral and Enteral Nutrition·Sophie HoganSharon Carey
May 29, 2021·Surgical Endoscopy·Kiho YouDong Woon Lee

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