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International Journal of Colorectal Disease

, Volume 25, Issue 2, pp 239–243 | Cite as

Patient’s appetite is a good indicator for postoperative feeding: a proposal for individualized postoperative feeding after surgery for colon cancer

  • Yutaka J. Kawamura
  • Yuichi Kuwahara
  • Ken Mizokami
  • Junichi Sasaki
  • Kok-Yang Tan
  • Shingo Tsujinaka
  • Takafumi Maeda
  • Fumio Konishi
Original Article

Abstract

Background

In modern postoperative management, early and enforced feeding has been implemented. The aim of this study is to determine the feasibility of individualized feeding according to the patient’s appetite.

Methods

Patients who underwent elective surgery for colon cancer from January 2007 to December 2008 were studied. Liquid intake was allowed on the day of operation and solid normal meal (1800 Kcal) was served according to the recovery of appetite.

Results

Two hundred and nine patients were included. Open and laparoscopic surgeries were performed in 104 and 105 patients, respectively. Solid meal was started by the second postoperative day in 81.3% of patients. Intravenous drip infusion was completed within 1 day of the start of the solid meal in 86.6% of the patients and 182 out of 209 patients (87.1%) did not require drip infusion by the third postoperative day. There were no mortalities and readmission rate was 1.0% (2/209).

Conclusion

The introduction of feeding according to the recovery of appetite was safe and feasible with no delay in establishing oral intake.

Keywords

Fast Track ERAS Feeding Appetite Colorectal cancer 

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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Yutaka J. Kawamura
    • 1
  • Yuichi Kuwahara
    • 1
  • Ken Mizokami
    • 1
  • Junichi Sasaki
    • 1
  • Kok-Yang Tan
    • 1
  • Shingo Tsujinaka
    • 1
  • Takafumi Maeda
    • 1
  • Fumio Konishi
    • 1
  1. 1.Department of Surgery, Saitama Medical CenterJichi Medical UniveristySaitamaJapan

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