Evidence map›Paper›PMID 26155256›Full record

ArticleKorean journal of hepato-biliary-pancreatic surgery2014

Clinical feasibility and nutritional effects of early oral feeding after pancreaticoduodenectomy.

Si Eun Hwang, Mi Jin Jung, Baik Hwan Cho, Hee Chul Yu

Abstract read
In one paragraph

Article in Korean journal of hepato-biliary-pancreatic surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Application of an early oral feeding protocol after pylorus-preserving pancreaticoduodenectomy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Article
  10. Article
  11. Enhanced Recovery After Surgery: Hepatobiliary.The Surgical clinics of North America · 2018
    Review
  12. Article
  13. Enhanced Recovery After Surgery.Journal of the advanced practitioner in oncology
    Review
  14. PANCREATODUODENECTOMY: BRAZILIAN PRACTICE PATTERNS.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Si Eun HwangDepartment of Surgery, Daejeon Sun Hospital, Daejeon, Korea.
Mi Jin JungDepartment of Nutrition Service, Chonbuk National University Hospital, Jeonju, Korea.
Baik Hwan ChoDepartment of Surgery, Chonbuk National University Hospital, Chonbuk National University Medical School, and Research Institute of Clinical Medicine, Jeonju, Korea.
Hee Chul YuDepartment of Surgery, Chonbuk National University Hospital, Chonbuk National University Medical School, and Research Institute of Clinical Medicine, Jeonju, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUNDS/

aimsPancreaticoduodenctomy (PD) is associated with high rates of postoperative morbidity and mortality. Although many studies have shown that early postoperative enteral nutrition improves postoperative outcomes, limited clinical information is available on postoperative early oral feeding (EOF) after PD. The aim of this study was to evaluate the clinical feasibility, safety, and nutritional effects of EOF after PD.

methodsClinical outcomes were investigated in 131 patients who underwent PD between 2003 and 2013, including 81 whose oral feeding was commenced within 48 hours (EOF group) and 50 whose oral feeding was commenced after resumption of bowel movements (traditional oral feeding [TOF] group). Postoperative complications, energy intake, and length of stay (LOS) were reviewed.

resultsDemographic factors were similar in the two groups. The EOF group had a significantly shorter LOS (25.9±8.5 days vs. 32.3±16.3 days; p=0.01) than the TOF group. The rates of anastomotic leak (1.2% vs. 16%, p=0.00) and reoperation (3.7% vs. 20%, p=0.01) were significantly lower in the EOF group. In the clinically acute phase from postoperative day 1 to day 5, the mean daily calorie intake (847.0 kcal vs. 745.6 kcal; p=0.04) and mean daily protein intake (42.2 g vs. 31.9 g; p=0.00) in the EOF group were significantly higher than that in the TOF group.

conclusionsPostoperative EOF is a clinically safe, feasible, and effective method of nutritional support after PD.

Indexed as

ComplicationEarly oral feedingLength of stayPancreaticoduodenectomy

Identifiers

PMID26155256
PMCPMC4492322

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.