Evidence map›Paper›PMID 32913588›Full record

ArticleInternational journal of organ transplantation medicine2020

Safety and Efficacy of Early Oral Feeding after Liver Transplantation with Roux-en-Y Choledochojejunostomy: A Single-Center Experience.

N Fakhar, A Sharifi, A Chavoshi Khamneh, A Kasraian Fard, Z Heydar, S H Dashti, A Jafarian

Open access · greenAbstract read
In one paragraph

Article in International journal of organ transplantation medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

7 authors at 2 institutions in 1 country.

N FakharLiver Transplantation Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Iran, Tehran.
A SharifiDepartment of Surgery, Imam Reza Educational and Treatment Center, Tabriz University of Medical Sciences, Tabriz, Iran.
A Chavoshi KhamnehLiver Transplantation Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Iran, Tehran.
A Kasraian FardDepartment of General Surgery, Hamadan University of Medical Sciences, Hamadan, Iran.
Z HeydarLiver Transplantation Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Iran, Tehran.
S H DashtiLiver Transplantation Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Iran, Tehran.
A JafarianLiver Transplantation Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Iran, Tehran.
Hamedan University of Medical Sciences · IRTabriz University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly oral feeding, as one of the most important components of multimodal strategies referred to as Enhanced Recovery After Surgery (ERAS), is now widely adopted for optimization of post-operative recovery of surgical patients.

objectiveTo assess ERAS outcome in patients who underwent liver transplantation in our center.

methodsIn a prospective study, patients who underwent liver transplantation from April 2015 to June 2018 at Imam Khomeini Hospital Complex, affiliated to Tehran University of Medical Sciences, Tehran, Iran, were enrolled in this study. Serum albumin, total iron-binding capacity (TIBC), and course of hospital stay were assessed.

results39 (23 male) patients who underwent choledochojejunostomy with Roux-en-Y anastomosis for liver transplantation were enrolled. The mean±SD pre-operative serum albumin and TIBC levels of patients were 3.0±0.6 (range: 1.9-4.1) g/dL and 304±75 (range: 154.0-437.0) µg/dL, respectively. The mean±SD time between the end of operation and starting oral feeding was 11.6±1.8 (range: 9.0-15.0) hours. All patients tolerated early oral feeding with liquids followed by solid foods; no vomiting reported in patients. Overall, patient survival rates at one month and three months were 89.7% and 89.7%, respectively. In our study, no leak of anastomosis was reported.

conclusionThere was no major harm for ERAS after liver transplantation and it might be even helpful as in colorectal surgeries. As seen in our study, oral feeding was started as soon as possible after the end of operation in almost all patients and all of them tolerated early oral feeding. No one had vomiting or nausea.

Indexed as

ERASLiver transplantationRoux-en-Y Choledochojejenostomy

Identifiers

PMID32913588
PMCPMC7471616
OpenAlexW3086294126

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Registered trials

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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.