The Relationship of Early Feeding and the Length of Stay in Post-gastrointestinal Surgery Patients

Warsinggih Warsinggih, Nur Afiqah binti Abadi, Prihantono Prihantono


Background: The length of stay in postoperative patients are varied. Prolonged duration of treatment and rest is due to several factors, extrinsic factors such as inadequate nutrition fulfillment, surgical techniques, medications, and wound management. Meanwhile intrinsic factors consist of age, circulation disorder, pain, and comorbidities. This study aims to investigate the influence of early feeding on the length of stay in post-gastrointestinal surgery patients in Dr. Wahidin Sudirohusodo Hospital from January to December 2016. This research is a cross-sectional analytic approach by using secondary data from medical records. The highest number of patients with a length of stay less than nine days is at <24 hours early feeding with percentage 60% and the highest number of patients with a length of stay more than nine days is at > 48 hours nutrition intake with rate 94.1%. There was a significant relationship between initial feeding time and the length of stay in the postoperative gastrointestinal patient. The results suggest to clinicians to provide early nutrition to the patient after having gastrointestinal surgery.


Early feeding; Length of stay; Gastrointestinal; Surgery.

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[ 1 ] Ng WQ, Neill J. Evidence for the early oral feeding of patients after elective open colorectal surgery: a literature review. Journal of clinical nursing. 2006 Jun 1;15(6):696-709

[ 2 ] Chen W, Zhang Z, Xiong MM, Meng XL, Dai F, Fang J, Wan H, Wang MF. Early enteral nutrition after total gastrectomy for gastric cancer. Asia Pacific journal of clinical nutrition. 2013 Mar 11.

[ 3 ] Lau C, Phillips E, Bresee C, Fleshner P. Early use of low residue diet is superior to clear liquid diet after elective colorectal surgery: a randomized controlled trial. Annals of surgery. 2014 Oct 1;260(4):641-9.

[ 4 ] Weimann A, Braga M, Carli F, Higashiguchi T, Hübner M, Klek S, Laviano A, Ljungqvist O, Lobo DN, Martindale R, Waitzberg DL. ESPEN guideline: Clinical nutrition in surgery. Clinical Nutrition. 2017 Jun 30;36(3):623-50.

[ 5 ] Abela G. The potential benefits and harms of early feeding post‐surgery: a literature review. International Wound Journal. 2017 Mar 1.

[ 6 ] Allard JP, Keller H, Jeejeebhoy KN, Laporte M, Duerksen DR, Gramlich L, Payette H, Bernier P, Vesnaver E, Davidson B, Teterina A. Malnutrition at hospital admission—contributors and effect on length of stay: a prospective cohort study from the Canadian malnutrition task force. Journal of Parenteral and Enteral Nutrition. 2016 May;40(4):487-97.

[ 7 ] Sun DL, Li WM, Li SM, Cen YY, Xu QW, Li YJ, Sun YB, Qi YX, Lin YY, Yang T, Lu QP. Comparison of multi-modal early oral nutrition for the tolerance of oral nutrition with conventional care after major abdominal surgery: a prospective, randomized, single-blind trial. Nutrition journal. 2017 Feb 10;16(1):11.

[ 8 ] Le Guen M, Fessler J, Fischler M. Early oral feeding after emergency abdominal operations: another paradigm to be broken?. Current Opinion in Clinical Nutrition & Metabolic Care. 2014 Sep 1;17(5):477-82.

[ 9 ] Perinel J, Mariette C, Dousset B, Sielezneff I, Gainant A, Mabrut JY, Bin-Dorel S, El Bechwaty M, Delaunay D, Bernard L, Sauvanet A. Early enteral versus total parenteral nutrition in patients undergoing pancreaticoduodenectomy: a randomized multicenter controlled trial (Nutri-DPC). Annals of surgery. 2016 Nov 1;264(5):731-7.

[ 10 ] Leandro-Merhi VA, de Aquino JL. Determinants of malnutrition and post-operative complications in hospitalized surgical patients. Journal of health, population, and nutrition. 2014 Sep;32(3):400.

[ 11 ] Chauvin C, Schalber-Geyer AS, Lefebvre F, Bopp C, Carrenard G, Marcoux L, Mayer JF, Schwaab C, Joshi GP, Diemunsch P. Early postoperative oral fluid intake in pediatric day case surgery influences the need for opioids and postoperative vomiting: a controlled randomized trial. BJA: British Journal of Anaesthesia. 2017 Feb 16;118(3):407-14.

[ 12 ] Theunissen CM, Maring JK, Raeijmaekers NJ, Martijnse IS, Langenhoff BS. Early postoperative progression to solid foods is safe after Roux-en-Y gastric bypass. Obesity surgery. 2016 Feb 1;26(2):296-302.

[ 13 ] Sheikh IA, Shukr I, Taj RU, Anwar MW. Usefulness and safety of early against delayed oral intake after an appendectomy. Pakistan Armed Forces Medical Journal. 2015 Oct 31;65(5):587-90.

[ 14 ] Van Barneveld KW, Smeets BJ, Heesakkers FF, Bosmans JW, Luyer MD, Wasowicz D, Bakker JA, Roos AN, Rutten HJ, Bouvy ND, Boelens PG. Beneficial effects of early enteral nutrition after major rectal surgery: a possible role for conditionally essential amino acids? Results of a randomized clinical trial. Critical care medicine. 2016 Jun 1;44(6):e353-61.

[ 15 ] Voskuilen CS, van de Putte EF, Bloos-van der Hulst J, van Werkhoven E, de Blok WM, van Rhijn BW, Horenblas S, Meijer RP. Short-term outcome after cystectomy: comparison of early oral feeding in an enhanced recovery protocol and feeding using Bengmark nasojejunal tube. World journal of urology. 2017 Nov 22:1-9.

[ 16 ] Deer TR, Stewart CD. Wound healing. InAtlas of Implantable Therapies for Pain Management 2016 (pp. 89-92). Springer, New York, NY.

[ 17 ] Moores J. Vitamin C: a wound healing perspective. British journal of community nursing. 2013 Dec 2;18.

[ 18 ] Adjepong M, Agbenorku P, Brown P, Oduro I. The effect of dietary intake of antioxidant micronutrients on burn wound healing: a study in a tertiary health institution in a developing country. Burns & trauma. 2015 Aug 12;3(1):12.

[ 19 ] Adjepong M, Agbenorku P, Brown P, Oduro I. The role of antioxidant micronutrients in the rate of recovery of burn patients: a systematic review. Burns & trauma. 2016 Aug 3;4(1):18.

[ 20 ] Mohammed BM, Fisher BJ, Kraskauskas D, Ward S, Wayne JS, Brophy DF, Fowler AA, Yager DR, Natarajan R. Vitamin C promotes wound healing through novel pleiotropic mechanisms. International wound journal. 2016 Aug 1;13(4):572-84.

[ 21 ] Rousseau AF, Losser MR, Ichai C, Berger MM. ESPEN endorsed recommendations: nutritional therapy in major burns. Clinical nutrition. 2013 Aug 31;32(4):497-502.

[ 22 ] Martínez-Serrano MA, Pereira JA, Sancho J, Argudo N, López-Cano M, Grande L. Specific improvement measures to reduce complications and mortality after urgent surgery in complicated abdominal wall hernia. Hernia. 2012 Apr 1;16(2):171-7.

[ 23 ] Rahman A, Martin C, Agarwala R, Heyland DK. OP004: Identifying Critically-Ill Patients Who Will Benefit Most from Nutritional Therapy: Further Validation of the “Modified Nutric” Nutritional Risk Assessment Tool. Clinical Nutrition. 2014 Sep 1;33: S2.


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