EARLY ENTERAL NUTRITION IN PATIENTS AFTER LAPAROSCOPY SLEEVE GASTRECTOMY

Kalashnikov O. O.

CLINICAL AND EXPERIMENTAL MEDICINE

Scentific article

Delay oral feeding following gastrointestinal surgery is a traditional surgical practice, based on fears of causing postoperative complications if oral intake begins before bowel function returns. Early postoperative oral feeding is becoming more common, particularly as part of multimodal or fast-track protocols. However, concerns remain about the safety of early enteral nutrition after laparoscopy sleeve gastrectomy. The aim of our study was to evaluate early enteral nutrition in patients after laparoscopy sleeve gastrectomy. A retrospective analysis of the treatment of 64 patients with morbid obesity who underwent laparoscopy sleeve gastrectomy. 39 composed group 1, whose begun early enteral nutrition on the first postoperative day; the other 25 patients were included in group 2, in which enteral nutrition was started from the fifth postoperative day. The age of the patients included in the study ranged from 17 to 68 years. In the first group, the average value was 38.9±12.5 years, in the second – 41±11. The ratio of males to females was almost the same, 20 to 19 in the first group and 9 to 16 in the second group, respectively. Anthropometric indicators in the groups: the average value of body weight, BMI and excess body weight in the first – 143.1±22.9 kg, 48.2±7.4 kg/m2 nand 76.3±20.7 kg and in the second –137.9±20.1 kg, 47.2±5.7 kg/m2 and 74.2±16.8 kg, respectively. No statistical differences were observed between group 1 and group 2 regarding gender distribution, age, weight, body mass index and excessive weight. Intraoperative blood loss (164.1±58.4 vs. 184±85.1 ml, respectively) and operative time (120.8±23.6 vs. 132.1±24.5 min, respectively) were comparable between the two groups (P>0,05). One staple line leak occurred on the 5th postoperative day in а group 2 patients. No leak was observed in group 1 patients. The complication rate was similar in both groups without significantly different (χ2=0,051; Р=0,82). Postoperative hospital stay was significantly shorter in group 1 vs. group 2 patients (6.3±1.7 vs. 8.9±2.1 days, respectively; t=5,89, Р=0,001). Early enteral nutrition in patients operated of LSG led to significantly reduce the hospital stay and didn`t influence to increase in complication rate.

оbesity,bariatric surgery,laparoscopy sleeve gastrectomy,staple line leak,early enteral nutrition

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«Bulletin of problems biology and medicine» Issue 1 (168), 2023 year, 176-186 pages, index UDK 3.2.032.33:616.33-089.87

10.29254/2077-4214-2023-1-168-176-186