Early enteral feeding after upper digestive tract surgeries and clinical assessment of post-operative ileus

  • Liandra Freitas Marques Bernardes Universidade Federal de Uberlândia
  • Augusto Diogo Filho Universidade Federal de Uberlândi


Background & Aims: In general, feeding after a gastrointestinal surgery should only occur after resolution of the post-operative ileus. However, early enteral feeding has shown such advantages (i) as faster recovery of the gastrointestinal motility, (ii) a shorter hospital stay and (iii) a better nitrogen balance. Our aim is to demonstrate that early feeding does provide these advantages and is also tolerable. Methods: The patients submitted to surgeries of the upper digestive tract were randomly distributed in two groups: the control group, with oral feeding 72h after surgery, and the test group with enteral feeding through a nasojejunal catheter 24h after surgery. The following were assessed: abdominal diameter, abdominal aspect, bowel sounds, flatulence and stools elimination, presence or absence of reflux, diarrhoea, abdominal pain, nauseas and/or vomits, all of which on a daily basis. On the fourth post-operative day, the nitrogen balance was assessed for all patients. The date of discharge from hospital was also recorded. Results: Patients in both the test group (8) and the control group (8) did not show any difference as to the period of hospital stay, recovery time of post-operative ileus and diet tolerance. The nitrogen balance was statistically significant (p<0.000) and better in the test group. Conclusions: Early enteral feeding after surgeries of the upper digestive tract is tolerable and enables a better nitrogen balance.


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Author Biographies

Liandra Freitas Marques Bernardes, Universidade Federal de Uberlândia
Nutricionista, servidora pública do Hospital de Clínicas de Uberlândia; Mestre em Ciências em Saúde
Augusto Diogo Filho, Universidade Federal de Uberlândi
Professor Doutor titular do Departamento de Cirurgia da Faculdade de Medicina de Uberlândia
How to Cite
Freitas Marques Bernardes, L., & Diogo Filho, A. (2008). Early enteral feeding after upper digestive tract surgeries and clinical assessment of post-operative ileus. Bioscience Journal, 24(4). Retrieved from http://www.seer.ufu.br/index.php/biosciencejournal/article/view/6825