■胃肠外科的进步将注意力转向优化康复,包括通过使用减少术后住院时间延长的喂养方法,并发症,和死亡率,在其他不良后果中。本研究的主要目标是确定当前同行评审的文献报告择期肠手术的术后结果,并评估择期肠手术后患者对口服喂养的耐受性的临床证据。
■通过PubMed和Scopus进行了详尽的文献检索。搜索结果筛选了潜在的文章,和文章根据预设的资格标准进行资格评估.数据被合成,并对结果进行了专题报道和讨论。
■数据库搜索产生了1,667篇文章,从中选择了18项随机对照试验纳入本研究.这项研究包括874名早期口服喂养(EOF)患者,865名传统经口喂养患者,和91例患者的术后护理未指定。完成了数据合成,并进行了荟萃分析。结果表明,EOF患者需要明显更短的时间来耐受固体饮食,并且住院时间更短。此外,EOF组肠功能恢复较早.
■结果显示对EOF具有良好的耐受性,住院时间较短,和更快的肠道功能恢复,提示择期肠道手术后EOF相对安全。然而,应进行类似基线条件的进一步研究以验证这些结果.
Advancements in gastrointestinal surgery have directed attention toward optimizing recovery, including through the use of feeding methods that reduce prolonged postoperative hospital stays, complications, and mortality, among other undesirable outcomes. This study\'s primary goals were to identify current peer-reviewed literature reporting the postoperative outcomes of elective bowel surgery and to evaluate the clinical evidence of patients\' tolerance to oral feeding following elective bowel surgery.
An exhaustive literature search was conducted via PubMed and Scopus. The search results were screened for potential articles, and articles were assessed for eligibility based on prespecified eligibility criteria. The data were synthesized, and the results were reported and discussed thematically.
The database search yielded 1,667 articles, from which 18 randomized controlled trials were chosen for inclusion in this study. This study included 874 early oral feeding (EOF) patients, 865 traditional oral feeding patients, and 91 patients whose postoperative care was unspecified. Data synthesis was done, and meta-analyses were conducted. The results showed that EOF patients required a significantly shorter time to tolerate a solid diet and had shorter hospital stays. In addition, bowel function was restored earlier in EOF groups.
The results show good tolerance to EOF, shorter hospitalizations, and faster restoration of bowel function, suggesting that EOF after elective bowel surgery is relatively safe. However, further studies with similar baseline conditions should be conducted to verify these results.