Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Apr 3:31:20-24.
doi: 10.1016/j.amsu.2018.03.023. eCollection 2018 Jul.

Clinical pathway after gastrectomy for gastric cancer: A case series of laparoscopic gastrectomy and early oral intake with "iEat™"

Yuichi Nakaseko  1 , Hironori Ohdaira  1 , Masashi Yoshida  1 , Masaki Kitajima  1 , Yutaka Suzuki  1
Affiliations

Clinical pathway after gastrectomy for gastric cancer: A case series of laparoscopic gastrectomy and early oral intake with "iEat™"

Yuichi Nakaseko et al. Ann Med Surg (Lond). .

Abstract

Introduction: We investigated the validity of the clinical pathway of early oral intake using a special type of food "iEat™" for patients after laparoscopic gastric cancer surgery.

Methods: Fifty-two patients who underwent laparoscopic surgery for gastric cancer between April 2012 and October 2013 were the participants. We provided postoperative care in accordance with a clinical pathway for laparoscopic gastrectomy that begins oral intake with "iEat™ the day after surgery. We examined complications resulting from oral intake, postoperative complications, and the length of postoperative hospital stay.

Results: Of the 52 patients, 30 underwent distal gastrectomy and 22 underwent total gastrectomy. 50 patients was able to start early oral intake in accordance with our clinical pathway. No anastomotic leak complications were observed, and 9 patients (17.3%) developed complications as results of surgery. There was no complication related to early oral intake with "iEat™". Re-operation were performed in two cases. Overall mean and median postoperative hospital stays were 8.3 days and 6 days, respectively. There was a single case of hospital re-admission. The completion rate of this early oral intake clinical pathway was 86.5%.

Conclusion: Clinical pathway of recovery program combined laparoscopic suregry and early oral intake with "iEat™" could be useful for gastric cancer. This study indicates that using non-liquid food like iEat™ can be feasiblel, and water or liquid food don't have to be used in early oral feeding after laparoscopic gastrectomy.

Keywords: Clinical pathway; Gastric cancer; Very early oral feeding.

PubMed Disclaimer

Similar articles

See all similar articles

References

    1. ASPEN board of directors and the clinical guidelines task force Guidelines for the use of parental and enterjal nutrition in adults and pediatric patients. JPEN (J. Parenter. Enteral Nutr.) 2002;26:95SA–96SA. - PubMed
    1. Goseki N., Endo M. Early oral feeding in patients after surgery for esophageal cancer. Surgery. 1991;53:697–702.
    1. Fearon K.C.H., Ljungqvist O., Von Meyenfeldt M., Revhaug A., Dejong C.H.C., Lassen K. Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection. Clin. Nutr. 2005;24:466–477. - PubMed
    1. Lassen K., Soop M., Nygren J., Cox P.B., Hendry P.O., Spies C. Consensus review of optimal perioperative care in colorectal surgery. Arch. Surg. 2009;144(10):961–969. - PubMed
    1. Agha R.A., Fowler A.J., Rammohan S., Barai I. Orgill DP and the PROCESS group. The PROCESS statement: preferred reporting of case series in surgery. Int. J. Surg. 2016;36(Pt A):319–323. - PubMed