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Original research
Early oral feeding post gastrectomy in gastric cancer: quasi-experimental study
  1. Haiyan He1,
  2. Yuanyuan Ma1,
  3. Guo Liu2,
  4. Shuying Liu2,
  5. Qin Liu3,
  6. Juan Yao4,
  7. Chengcheng Huang3,
  8. Jie Liu5,
  9. Liang Zhou6,
  10. Ting Wang4,
  11. Teng Wang3,
  12. Na Wang2,
  13. Xiaolian Deng3 and
  14. Yaling Wang7
  1. 1Department of Nursing, Army Medical University Daping Hospital, Chongqing, China
  2. 2Department of Trauma Surgery, Army Medical University Daping Hospital, Chongqing, China
  3. 3Department of Gastrointestinal Colorectal and Anal Surgery, Army Medical University Daping Hospital, Chongqing, China
  4. 4Department of Intensive Care Unit, Army Medical University Daping Hospital, Chongqing, China
  5. 5Department of Clinical Nutrition, Army Medical University Daping Hospital, Chongqing, China
  6. 6Department of Field Surgery Research, Army Medical University Daping Hospital, Chongqing, China
  7. 7Nursing Department, Army Medical University Daping Hospital, Chongqing, China
  1. Correspondence to Professor Yaling Wang; dphhy2022{at}163.com; Mrs Xiaolian Deng; 18323114732{at}163.com

Abstract

Objective This study aims to investigate the safety and feasibility of early oral feeding in patients with gastric cancer after gastrectomy.

Methods A total of 135 patients with gastric cancer who would receive gastrectomy were enrolled in the study, with 61 in early oral feeding group and 74 in control group. Outcomes included nutrient intake, nutritional status, gastrointestinal functions and symptoms, pain, physical activity time, clinical outcomes and inflammation markers.

Results In comparison with control group, patients in early oral feeding group had significantly higher compliance rates of oral energy and protein intake, lower needs of parenteral nutrition and shorter postoperative oral feeding start time during hospitalisation. Moreover, the compliance rate of oral protein intake at 1 week after discharge was higher in patients with gastric cancer of early oral feeding group compared with control group. The gastrointestinal function was better in early oral feeding group, evidenced by shorter time to the first flatus and dwell time for gastric tube.

Conclusion This study demonstrated that early oral feeding is safe and can significantly improve oral energy and oral protein intake and gastrointestinal functions during hospitalisation in patients with gastric cancer who received gastrectomy, as well as the oral protein intake after discharge.

Trial registration Chinese Clinical Trial Registry: ChiCTR2300069202.

  • Advance Care Planning
  • Gastrointestinal (upper)
  • Hospital care
  • Quality of life

Data availability statement

Data are available upon reasonable request. The data that support the findings of this study are available from the corresponding author upon reasonable request.

https://doi.org/10.1136/spcare-2024-005183

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    Data availability statement

    Data are available upon reasonable request. The data that support the findings of this study are available from the corresponding author upon reasonable request.

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    Footnotes

    • HH, YM and GL contributed equally.

    • XD and YW contributed equally.

    • Contributors HH: conceptualisation, methodology, funding acquisition, resources, writing - review and editing, supervision. YM: data curation, writing- original draft preparation, visualisation. GL, JY: investigation, resources. SL and QL: data curation. CH, TingW, TengW and NW: investigation, data curation. JL: validation. LZ: software, formal analysis. XD: investigation, resources, writing - review and editing, supervision. YW: conceptualisation, validation, resources, writing - review and editing, supervision, project administration. YW and XD are the guarantors of this study.

    • Funding This research was supported by a grant from the Chongqing Science and Health Joint Medical Research Project (NO. 2020FYYX057).

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.