Nutritional Support and Oral Intake after Gastric Resection in Five Northern European Countries

K Lassen; C H C Dejong; O Ljungqvist; K Fearon; Jens Andersen; P Hannemann; M F von Meyenfeldt; J Hausel; J Nygren; A Revhaug

Nutritional Support and Oral Intake after Gastric Resection in Five Northern European Countries

K Lassen, C H C Dejong, O Ljungqvist, K Fearon, Jens Andersen, P Hannemann, M F von Meyenfeldt, J Hausel, J Nygren, A Revhaug

Gastroenheden AHH

35 Citationer (Scopus)

Abstract

BACKGROUND: A comprehensive evidence base for perioperative care in upper gastrointestinal (GI) surgery is lacking. Little is known about the routines currently practiced in the absence of such evidence. We describe postoperative practice after gastric resections in five northern European countries. METHOD AND SETTING: Questionnaire survey in all major digestive surgical centres in Scotland, the Netherlands, Denmark, Sweden and Norway. RESULTS: 76% of all centres (n = 200/263) responded. Routines varied extensively both nationally and between countries. No uniformity was traced although a conservative trend was noticeable in the use of nasogastric decompression tubes and 'nil-by-mouth' regimens. Nutritional support during the first 5 days is generally offered in Denmark, but not in Scotland. Drinking at will is generally allowed in Denmark and Norway by the first postoperative day. Eating at will is uniformly restricted. CONCLUSION: The paucity of evidence is reflected by the marked heterogeneity in practice. Large groups of patients may be treated suboptimally. Best perioperative care for these patients must be defined and documented. Especially, the role of early oral intake at will in upper GI surgery needs to be clarified by sufficiently powered trials. Copyright (c) 2005 S. Karger AG, Basel.

Discussion 352

Originalsprog	Engelsk
Tidsskrift	Dig Surg
Vol/bind	22
Udgave nummer	5
Sider (fra-til)	346-352
Antal sider	7
Status	Udgivet - 2005

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Lassen, K., Dejong, C. H. C., Ljungqvist, O., Fearon, K., Andersen, J., Hannemann, P., von Meyenfeldt, M. F., Hausel, J., Nygren, J., & Revhaug, A. (2005). Nutritional Support and Oral Intake after Gastric Resection in Five Northern European Countries. Dig Surg, 22(5), 346-352. http://content.karger.com/ProdukteDB/produkte.asp?Aktion=ShowPDF&ProduktNr=223996&Ausgabe=231418&ArtikelNr=89770&filename=89770.pdf

Lassen, K, Dejong, CHC, Ljungqvist, O, Fearon, K, Andersen, J, Hannemann, P, von Meyenfeldt, MF, Hausel, J, Nygren, J & Revhaug, A 2005, 'Nutritional Support and Oral Intake after Gastric Resection in Five Northern European Countries', Dig Surg, bind 22, nr. 5, s. 346-352. <http://content.karger.com/ProdukteDB/produkte.asp?Aktion=ShowPDF&ProduktNr=223996&Ausgabe=231418&ArtikelNr=89770&filename=89770.pdf>

@article{001a0335313c4bfaa87b7b23f82fa209,

title = "Nutritional Support and Oral Intake after Gastric Resection in Five Northern European Countries",

abstract = "BACKGROUND: A comprehensive evidence base for perioperative care in upper gastrointestinal (GI) surgery is lacking. Little is known about the routines currently practiced in the absence of such evidence. We describe postoperative practice after gastric resections in five northern European countries. METHOD AND SETTING: Questionnaire survey in all major digestive surgical centres in Scotland, the Netherlands, Denmark, Sweden and Norway. RESULTS: 76% of all centres (n = 200/263) responded. Routines varied extensively both nationally and between countries. No uniformity was traced although a conservative trend was noticeable in the use of nasogastric decompression tubes and 'nil-by-mouth' regimens. Nutritional support during the first 5 days is generally offered in Denmark, but not in Scotland. Drinking at will is generally allowed in Denmark and Norway by the first postoperative day. Eating at will is uniformly restricted. CONCLUSION: The paucity of evidence is reflected by the marked heterogeneity in practice. Large groups of patients may be treated suboptimally. Best perioperative care for these patients must be defined and documented. Especially, the role of early oral intake at will in upper GI surgery needs to be clarified by sufficiently powered trials. Copyright (c) 2005 S. Karger AG, Basel.Discussion 352",

author = "K Lassen and Dejong, {C H C} and O Ljungqvist and K Fearon and Jens Andersen and P Hannemann and {von Meyenfeldt}, {M F} and J Hausel and J Nygren and A Revhaug",

year = "2005",

language = "English",

volume = "22",

pages = "346--352",

journal = "Dig Surg",

issn = "1421-9883",

publisher = "S./Karger AG",

number = "5",

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TY - JOUR

T1 - Nutritional Support and Oral Intake after Gastric Resection in Five Northern European Countries

AU - Lassen, K

AU - Dejong, C H C

AU - Ljungqvist, O

AU - Fearon, K

AU - Andersen, Jens

AU - Hannemann, P

AU - von Meyenfeldt, M F

AU - Hausel, J

AU - Nygren, J

AU - Revhaug, A

PY - 2005

Y1 - 2005

N2 - BACKGROUND: A comprehensive evidence base for perioperative care in upper gastrointestinal (GI) surgery is lacking. Little is known about the routines currently practiced in the absence of such evidence. We describe postoperative practice after gastric resections in five northern European countries. METHOD AND SETTING: Questionnaire survey in all major digestive surgical centres in Scotland, the Netherlands, Denmark, Sweden and Norway. RESULTS: 76% of all centres (n = 200/263) responded. Routines varied extensively both nationally and between countries. No uniformity was traced although a conservative trend was noticeable in the use of nasogastric decompression tubes and 'nil-by-mouth' regimens. Nutritional support during the first 5 days is generally offered in Denmark, but not in Scotland. Drinking at will is generally allowed in Denmark and Norway by the first postoperative day. Eating at will is uniformly restricted. CONCLUSION: The paucity of evidence is reflected by the marked heterogeneity in practice. Large groups of patients may be treated suboptimally. Best perioperative care for these patients must be defined and documented. Especially, the role of early oral intake at will in upper GI surgery needs to be clarified by sufficiently powered trials. Copyright (c) 2005 S. Karger AG, Basel.Discussion 352

AB - BACKGROUND: A comprehensive evidence base for perioperative care in upper gastrointestinal (GI) surgery is lacking. Little is known about the routines currently practiced in the absence of such evidence. We describe postoperative practice after gastric resections in five northern European countries. METHOD AND SETTING: Questionnaire survey in all major digestive surgical centres in Scotland, the Netherlands, Denmark, Sweden and Norway. RESULTS: 76% of all centres (n = 200/263) responded. Routines varied extensively both nationally and between countries. No uniformity was traced although a conservative trend was noticeable in the use of nasogastric decompression tubes and 'nil-by-mouth' regimens. Nutritional support during the first 5 days is generally offered in Denmark, but not in Scotland. Drinking at will is generally allowed in Denmark and Norway by the first postoperative day. Eating at will is uniformly restricted. CONCLUSION: The paucity of evidence is reflected by the marked heterogeneity in practice. Large groups of patients may be treated suboptimally. Best perioperative care for these patients must be defined and documented. Especially, the role of early oral intake at will in upper GI surgery needs to be clarified by sufficiently powered trials. Copyright (c) 2005 S. Karger AG, Basel.Discussion 352

M3 - Journal article

SN - 1421-9883

VL - 22

SP - 346

EP - 352

JO - Dig Surg

JF - Dig Surg

IS - 5

ER -

Nutritional Support and Oral Intake after Gastric Resection in Five Northern European Countries

Abstract

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