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Early feeding after major non-laparoscopic gynaecological surgery did not increase gastrointestinal symptoms

https://doi.org/10.1136/ebn.4.2.49

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    MacMillan SL, Kammerer-Doak D, Rogers RG, et al.Early feeding and the incidence of gastrointestinal symptoms after major gynecologic surgery.Obstet Gynecol2000 Oct;96:604–8OpenUrlCrossRefPubMedWeb of Science

    QUESTION: Is an early low residue diet after major non-laparoscopic gynaecological surgery for benign indications associated with increased postoperative ileus or other gastrointestinal symptoms when compared with conventional postoperative dietary management?

    Design

    Randomised (unclear allocation concealment), unblinded, controlled trial with follow up at hospital discharge.

    Setting

    A university hospital in Albuquerque, New Mexico, USA.

    Patients

    150 women who had major abdominal or vaginal non-laparoscopic gynaecological surgery for benign indications. Exclusion criteria were history of malignancy, inflammatory bowel disease or obstruction, or current or previous surgery involving extensive lysis of bowel adhesions. 93% of women (46% white, 36% Hispanic) were included in the final analysis.

    Intervention

    67 women received early feeding and were offered a low residue diet within 6 hours of arrival …

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    Footnotes

    • Source of funding: NCRR-GCRC.

    • For correspondence: Dr D Kammerer-Doak, Women's Health Services, Lovelace Healthcare Center (Journal Center), 5150 Journal Center Boulevard NE, 1st Floor, Albuquerque, NM 87109, USA. Fax +1 505 262 3198.