The Short-term Outcome of Early Oral Feeding as Recovery Protocols on Resectable Gastric Cancer

Affan Adib Sungkar; Ida Bagus Budhi Surya Adyana

doi:10.3889/oamjms.2022.7190

Authors

Affan Adib Sungkar Department of Surgery, Faculty of Medicine, University of Sebelas Maret, University of Sebelas Maret Hospital, Surakarta, Central Java, Indonesia
Ida Bagus Budhi Surya Adyana Department of Surgery, Faculty of Medicine, University of Sebelas Maret, Dr. Moewardi General Hospital, Surakarta, Central Java, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.7190

Keywords:

Early oral feeding, Recovery, Protocol, Gastric cancer

Abstract

BACKGROUND: Gastric cancer is the fourth most common malignancy. Surgical resection is the only treatment. Giving early oral feeding after gastric surgery is controversial.

AIM: This study aimed to provide short-term outcomes in resectable gastric cancer patients by early oral feeding.

METHODS: A retrospective descriptive study with a cross-sectional approach was conducted with all gastric cancer patients treated and performed tumor resection who underwent early oral feeding protocol at RSUD Dr. Moewardi Surakarta in January 2018–August 2019. The data, especially age, gender, tumor location, resection, reconstruction, and short-term outcome (anastomotic leak and surgical site infection), were taken from the medical records.

RESULTS: A total of seven patients were included in the study. Six patients were >50 yearsold (60.14 + 1.29 years). Four patients (57.14%) were female. One patient (14.28%) had Roux-en-Y esophagojejunostomy anastomoses, two patients (28.57%) had a Billroth while four patients (57.15%) were performed Billroth II. There was no significant correlation between early oral feeding and short-term outcome.

CONCLUSION: This description of short-term outcome in resectable gastric cancer which performed early oral feeding protocols has not shown any complications. However, this research needs further research with more significant number of samples and post-operative complications.

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References

Tweed T, van Eijden Y, Tegels J, Brenkman H, Ruurda J, van Hillegersberg R, et al. Safety and efficacy of early oral feeding for enhanced recovery following gastrectomy for gastric cancer: A systematic review. Surg Oncol. 2019;28:88-95. https://doi.org/10.1016/j.suronc.2018.11.017 PMid:30851919 DOI: https://doi.org/10.1016/j.suronc.2018.11.017

Hur H, Kim SG, Shim JH, Song KY, Kim W, Park CH, et al. Effect of early oral feeding after gastric cancer surgery: A result of randomized clinical trial. Surgery. 2011;149(4):561-8. https://doi.org/10.1016/j.surg.2010.10.003 PMid:21146844 DOI: https://doi.org/10.1016/j.surg.2010.10.003

Lahmidani N, El Yousf M, Aqodad N, Benajah D, El Abkari M, Ibrahimi A, et al. Update on gastric cancer epidemiology and risk factors. J Cancer Res Ther. 2018;9:242-54. https://doi.org/10.4236/jct.2018.93021 DOI: https://doi.org/10.4236/jct.2018.93021

Hummel R, Bausch D. Anastomotic leakage after upper gastrointestinal surgery: Surgical treatment. Visc Med. 2017;33(3):207-11. https://doi.org/10.1159/000470884 PMid:28785569 DOI: https://doi.org/10.1159/000470884

Knight WR, Allum WH. Gastric tumor. Medicine. 2019;47:309-13. DOI: https://doi.org/10.1016/j.mpmed.2019.02.002

Imai E, Ueda M, Kanao K, Miyaki K, Kubota T, Kitajima M. Surgical site infection surveillance after open gastrectomy and risk factors for surgical site infection. J Infect Chemother. 2005;11(3):141-5. https://doi.org/10.1007/s10156-005-0379-x PMid:15990978 DOI: https://doi.org/10.1007/s10156-005-0379-X

Roggin K, Posner MC. Distal subtotal gastrectomy and D1 resection. In: Nussbaum MS, Fischer JE, editors. Master Techniques in Surgery: Gastric Surgery. Philadelphia, PA: Lippincott Williams and Wilkins; 2019. p. 153-62.

Roses SR, Dempsey DT. Schwartz’s Principles of Surgery. Philadelphia, PA: McGraw-Hill Medical; 2019. p. 1099-166.

Lassen K, Kjaeve J, Fetveit T, Tranø G, Sigurdsson HK, Horn A, et al. Allowing normal food at will after major upper gastrointestinal surgery does not increase morbidity: A randomized multicenter trial. Ann Surg. 2008;247(5):721-9. https://doi.org/10.1097/SLA.0b013e31815cca68 PMid:18438106 DOI: https://doi.org/10.1097/SLA.0b013e31815cca68

Weimann A, Braga M, Carli F, Higashiguchi T, Hübner M, Klek S, et al. ESPEN guideline: Clinical nutrition in surgery. Clin Nutr. 2017;36(3):623-50. https://doi.org/10.1016/j.clnu.2017.02.013 PMid:28385477 DOI: https://doi.org/10.1016/j.clnu.2017.02.013