Effect of early oral feeding on length of hospital stay following gastrectomy for gastric cancer: a Japanese multicenter, randomized controlled trial

Nobuyuki Shimizu, Eiji Oki, Yutaka Tanizawa, Yutaka Suzuki, Susumu Aikou, Chikara Kunisaki, Takashi Tsuchiya, Ryoji Fukushima, Yuichiro Doki, Shoji Natsugoe, Yasunori Nishida, Masaru Morita, Naoki Hirabayashi, Fumihiko Hatao, Ikuo Takahashi, Yasuhiro Choda, Yoshiaki Iwasaki, Yasuyuki Seto

研究成果: ジャーナルへの寄稿記事

4 引用 (Scopus)

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Purpose: This multicenter, randomized controlled study evaluates the safety of early oral feeding following gastrectomy, and its effect on the length of postoperative hospital stay. Methods: The subjects of this study were patients who underwent distal gastrectomy (DG) or total gastrectomy (TG) for gastric cancer between January 2014 and December 2015. Patients were randomly assigned to the early oral feeding group (intervention group) or the conventional postoperative management group (control group) for each procedure. We evaluated the length of postoperative hospital stay and the incidence of postoperative complications in each group. Results: No significant differences in length of postoperative stay were found between the intervention and control groups of the patients who underwent DG. The incidence of postoperative complications was significantly greater in the DG intervention group. In contrast, the length of postoperative stay was significantly shorter in the TG intervention group, although the TG group did not attain the established target sample size. Conclusion: Early oral feeding did not shorten the postoperative hospital stay after DG. The higher incidence of postoperative complications precluded the unselected adoption of early oral feeding for DG patients. Further confirmative studies are required to definitively establish the potential benefits of early oral feeding for TG patients.

元の言語英語
ページ(範囲)865-874
ページ数10
ジャーナルSurgery today
48
発行部数9
DOI
出版物ステータス出版済み - 9 1 2018

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Gastrectomy
Stomach Neoplasms
Length of Stay
Randomized Controlled Trials
Incidence
Control Groups
Sample Size
Safety

All Science Journal Classification (ASJC) codes

  • Surgery

これを引用

Effect of early oral feeding on length of hospital stay following gastrectomy for gastric cancer : a Japanese multicenter, randomized controlled trial. / Shimizu, Nobuyuki; Oki, Eiji; Tanizawa, Yutaka; Suzuki, Yutaka; Aikou, Susumu; Kunisaki, Chikara; Tsuchiya, Takashi; Fukushima, Ryoji; Doki, Yuichiro; Natsugoe, Shoji; Nishida, Yasunori; Morita, Masaru; Hirabayashi, Naoki; Hatao, Fumihiko; Takahashi, Ikuo; Choda, Yasuhiro; Iwasaki, Yoshiaki; Seto, Yasuyuki.

:: Surgery today, 巻 48, 番号 9, 01.09.2018, p. 865-874.

研究成果: ジャーナルへの寄稿記事

Shimizu, N, Oki, E, Tanizawa, Y, Suzuki, Y, Aikou, S, Kunisaki, C, Tsuchiya, T, Fukushima, R, Doki, Y, Natsugoe, S, Nishida, Y, Morita, M, Hirabayashi, N, Hatao, F, Takahashi, I, Choda, Y, Iwasaki, Y & Seto, Y 2018, 'Effect of early oral feeding on length of hospital stay following gastrectomy for gastric cancer: a Japanese multicenter, randomized controlled trial', Surgery today, 巻. 48, 番号 9, pp. 865-874. https://doi.org/10.1007/s00595-018-1665-4
Shimizu, Nobuyuki ; Oki, Eiji ; Tanizawa, Yutaka ; Suzuki, Yutaka ; Aikou, Susumu ; Kunisaki, Chikara ; Tsuchiya, Takashi ; Fukushima, Ryoji ; Doki, Yuichiro ; Natsugoe, Shoji ; Nishida, Yasunori ; Morita, Masaru ; Hirabayashi, Naoki ; Hatao, Fumihiko ; Takahashi, Ikuo ; Choda, Yasuhiro ; Iwasaki, Yoshiaki ; Seto, Yasuyuki. / Effect of early oral feeding on length of hospital stay following gastrectomy for gastric cancer : a Japanese multicenter, randomized controlled trial. :: Surgery today. 2018 ; 巻 48, 番号 9. pp. 865-874.
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abstract = "Purpose: This multicenter, randomized controlled study evaluates the safety of early oral feeding following gastrectomy, and its effect on the length of postoperative hospital stay. Methods: The subjects of this study were patients who underwent distal gastrectomy (DG) or total gastrectomy (TG) for gastric cancer between January 2014 and December 2015. Patients were randomly assigned to the early oral feeding group (intervention group) or the conventional postoperative management group (control group) for each procedure. We evaluated the length of postoperative hospital stay and the incidence of postoperative complications in each group. Results: No significant differences in length of postoperative stay were found between the intervention and control groups of the patients who underwent DG. The incidence of postoperative complications was significantly greater in the DG intervention group. In contrast, the length of postoperative stay was significantly shorter in the TG intervention group, although the TG group did not attain the established target sample size. Conclusion: Early oral feeding did not shorten the postoperative hospital stay after DG. The higher incidence of postoperative complications precluded the unselected adoption of early oral feeding for DG patients. Further confirmative studies are required to definitively establish the potential benefits of early oral feeding for TG patients.",
author = "Nobuyuki Shimizu and Eiji Oki and Yutaka Tanizawa and Yutaka Suzuki and Susumu Aikou and Chikara Kunisaki and Takashi Tsuchiya and Ryoji Fukushima and Yuichiro Doki and Shoji Natsugoe and Yasunori Nishida and Masaru Morita and Naoki Hirabayashi and Fumihiko Hatao and Ikuo Takahashi and Yasuhiro Choda and Yoshiaki Iwasaki and Yasuyuki Seto",
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T1 - Effect of early oral feeding on length of hospital stay following gastrectomy for gastric cancer

T2 - a Japanese multicenter, randomized controlled trial

AU - Shimizu, Nobuyuki

AU - Oki, Eiji

AU - Tanizawa, Yutaka

AU - Suzuki, Yutaka

AU - Aikou, Susumu

AU - Kunisaki, Chikara

AU - Tsuchiya, Takashi

AU - Fukushima, Ryoji

AU - Doki, Yuichiro

AU - Natsugoe, Shoji

AU - Nishida, Yasunori

AU - Morita, Masaru

AU - Hirabayashi, Naoki

AU - Hatao, Fumihiko

AU - Takahashi, Ikuo

AU - Choda, Yasuhiro

AU - Iwasaki, Yoshiaki

AU - Seto, Yasuyuki

PY - 2018/9/1

Y1 - 2018/9/1

N2 - Purpose: This multicenter, randomized controlled study evaluates the safety of early oral feeding following gastrectomy, and its effect on the length of postoperative hospital stay. Methods: The subjects of this study were patients who underwent distal gastrectomy (DG) or total gastrectomy (TG) for gastric cancer between January 2014 and December 2015. Patients were randomly assigned to the early oral feeding group (intervention group) or the conventional postoperative management group (control group) for each procedure. We evaluated the length of postoperative hospital stay and the incidence of postoperative complications in each group. Results: No significant differences in length of postoperative stay were found between the intervention and control groups of the patients who underwent DG. The incidence of postoperative complications was significantly greater in the DG intervention group. In contrast, the length of postoperative stay was significantly shorter in the TG intervention group, although the TG group did not attain the established target sample size. Conclusion: Early oral feeding did not shorten the postoperative hospital stay after DG. The higher incidence of postoperative complications precluded the unselected adoption of early oral feeding for DG patients. Further confirmative studies are required to definitively establish the potential benefits of early oral feeding for TG patients.

AB - Purpose: This multicenter, randomized controlled study evaluates the safety of early oral feeding following gastrectomy, and its effect on the length of postoperative hospital stay. Methods: The subjects of this study were patients who underwent distal gastrectomy (DG) or total gastrectomy (TG) for gastric cancer between January 2014 and December 2015. Patients were randomly assigned to the early oral feeding group (intervention group) or the conventional postoperative management group (control group) for each procedure. We evaluated the length of postoperative hospital stay and the incidence of postoperative complications in each group. Results: No significant differences in length of postoperative stay were found between the intervention and control groups of the patients who underwent DG. The incidence of postoperative complications was significantly greater in the DG intervention group. In contrast, the length of postoperative stay was significantly shorter in the TG intervention group, although the TG group did not attain the established target sample size. Conclusion: Early oral feeding did not shorten the postoperative hospital stay after DG. The higher incidence of postoperative complications precluded the unselected adoption of early oral feeding for DG patients. Further confirmative studies are required to definitively establish the potential benefits of early oral feeding for TG patients.

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